Individual provider · Type 1 NPI
Fredericka Arlene Jackson, PH.D. CAC II
Addiction (Substance Use Disorder) Psychologist · Troy, MI
Practice location
38815 Dequindre Rd
Troy, MI 48083-5769
Mailing address
43220 Fountain Dr
Sterling Heights, MI 48313-2394
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Psychologist Primary | 103TA0400X | 6301008884 (MI) |
| Clinical Psychologist | 103TC0700X | 6301008884 (MI) |
Addiction (Substance Use Disorder) Psychologist: A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behav…
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About NPI 1922089531
Fredericka Arlene Jackson, PH.D. CAC II's National Provider Identifier is 1922089531, issued on Nov 10, 2005. The primary taxonomy on file is Addiction (Substance Use Disorder) Psychologist (103TA0400X), and the practice location is in Troy, MI. The record was last updated on Sep 11, 2025.