Individual provider · Type 1 NPI

Lynn Jackson

Professional Counselor · West Bloomfield, MI

NPI number 1497129472 Active

Practice location

3869 Terrybrook Rd
West Bloomfield, MI 48322-1737

Call (248) 932-3935 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401013032 (MI)

Professional Counselor: Definition to come...

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About NPI 1497129472

Lynn Jackson's National Provider Identifier is 1497129472, issued on Nov 13, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in West Bloomfield, MI. The record was last updated on Nov 13, 2015.