Individual provider · Type 1 NPI
Shanna Jackson, LPC
Professional Counselor · Eastpointe, MI
NPI number
1922492594
Active
Practice location
18007 Juliana Ave
Eastpointe, MI 48021-3205
Other practice locations
- 38271 Mound Rd Bldg B, Sterling Heights, MI 48310-3401 · (586) 477-2054
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | None listed |
| Case Manager/Care Coordinator | 171M00000X | 6401013761 (MI) |
| Professional Counselor Primary | 101YP2500X | 6401013761 (MI) |
Professional Counselor: Definition to come...
Other professional counselor providers in Eastpointe
About NPI 1922492594
Shanna Jackson, LPC's National Provider Identifier is 1922492594, issued on Mar 23, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Eastpointe, MI. The record was last updated on Jul 7, 2022.