Individual provider · Type 1 NPI

Thomasene Jackson, LLPC

Counselor · Redford, MI

NPI number 1831527670 Active

Practice location

9315 Telegraph Rd
Redford, MI 48239-1260

Fax (313) 937-9504

Mailing address

9329 Telegraph Rd
Redford, MI 48239-1260

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X6401013156 (MI)
Counselor Primary 101Y00000X6401013156 (MI)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1831527670

Thomasene Jackson, LLPC's National Provider Identifier is 1831527670, issued on Oct 14, 2013. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Redford, MI. The record was last updated on Apr 13, 2022.