Individual provider · Type 1 NPI

Latoya T. Jackosn, COUNSELOR

Counselor · Detroit, MI

NPI number 1912136797 Active

Practice location

Sunshine Treatment In, 4821 E. Mcnichols
Detroit, MI 48212

Call (313) 368-4800 Map

Mailing address

20420 Terrell St
Detroit, MI 48234-3209

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XJ250488789675 (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 1912136797

Latoya T. Jackosn, COUNSELOR's National Provider Identifier is 1912136797, issued on Jul 14, 2009. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Detroit, MI. The record was last updated on Jul 14, 2009.