Individual provider · Type 1 NPI
Carmen Jackson Joel, BACHLEOR OF ARTS
Addiction (Substance Use Disorder) Counselor · Detroit, MI
NPI number
1124235296
Active
Practice location
12089 Penrod St
Detroit, MI 48228-1171
Fax (313) 865-1477
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1124235296
Carmen Jackson Joel, BACHLEOR OF ARTS's National Provider Identifier is 1124235296, issued on May 17, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Detroit, MI. The record was last updated on Jul 8, 2007.