Individual provider · Type 1 NPI

Carrisma Jackson

Mental Health Counselor · Portage, MI

NPI number 1306751854 Active

Practice location

246 E Kilgore Rd
Portage, MI 49002-0507

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1306751854

Carrisma Jackson's National Provider Identifier is 1306751854, issued on Aug 18, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portage, MI. The record was last updated on Aug 18, 2026.