Individual provider · Type 1 NPI
Shantell M. M. Jackson
Pastoral Counselor · Detroit, MI
NPI number
1386598597
Active
Practice location
18256 Ashton Ave
Detroit, MI 48219-2957
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pastoral Counselor Primary | 101YP1600X | J250765585757 (MI) |
Pastoral Counselor: Definition to come...
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About NPI 1386598597
Shantell M. M. Jackson's National Provider Identifier is 1386598597, issued on Feb 24, 2026. The primary taxonomy on file is Pastoral Counselor (101YP1600X), and the practice location is in Detroit, MI. The record was last updated on Feb 24, 2026.