Individual provider · Type 1 NPI
Tracee Louise Jackson, LPC
Mental Health Counselor · St. Clair Shores, MI
NPI number
1144573338
Active
Practice location
22901 W Industrial Dr Ste 105
St. Clair Shores, MI 48080-1130
Mailing address
482 Allard Ave
Grosse Pointe Farms, MI 48236-2812
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 6401011830 (MI) |
Mental Health Counselor: Definition to come...
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About NPI 1144573338
Tracee Louise Jackson, LPC's National Provider Identifier is 1144573338, issued on Oct 25, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Clair Shores, MI. The record was last updated on Jun 25, 2025.