Individual provider · Type 1 NPI

Antoinette Rachel Jackson

Mental Health Counselor · Southgate, MI

NPI number 1144971508 Active

Practice location

13101 Allen Rd
Southgate, MI 48195-2216

Call (734) 785-7700 Map

Mailing address

12433 Birwood St
Detroit, MI 48204-1022

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor Primary	101YM0800X	None listed

Mental Health Counselor: Definition to come...

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About NPI 1144971508

Antoinette Rachel Jackson's National Provider Identifier is 1144971508, issued on Jan 17, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Southgate, MI. The record was last updated on Nov 6, 2024.