Individual provider · Type 1 NPI

Alicia Jackson, LPC

Professional Counselor · Detroit, MI

NPI number 1689913147 Active

Practice location

79 W Alexandrine
Detroit, MI 48201-2015

Call (313) 831-5535 Map

Fax (313) 831-2608

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401011272 (MI)

Professional Counselor: Definition to come...

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About NPI 1689913147

Alicia Jackson, LPC's National Provider Identifier is 1689913147, issued on Feb 4, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Detroit, MI. The record was last updated on Jan 31, 2017.