Individual provider · Type 1 NPI

Karen Jackson

Mental Health Counselor · West Bloomfield, MI

NPI number 1417402603 Active

Practice location

6564 Crescent Grn
West Bloomfield, MI 48322-1323

Call (313) 695-3469 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6401015668 (MI)

Mental Health Counselor: Definition to come...

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About NPI 1417402603

Karen Jackson's National Provider Identifier is 1417402603, issued on Aug 17, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in West Bloomfield, MI. The record was last updated on Oct 5, 2016.