Individual provider · Type 1 NPI

Tamara T. Jackson

Addiction (Substance Use Disorder) Counselor · Grand Rapids, MI

NPI number 1164061073 Active

Practice location

40 Jefferson Ave SE
Grand Rapids, MI 49503-4304

Call (616) 456-1443 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1164061073

Tamara T. Jackson's National Provider Identifier is 1164061073, issued on Dec 26, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Grand Rapids, MI. The record was last updated on Dec 26, 2019.