Individual provider · Type 1 NPI

Jessica Jackson

Addiction (Substance Use Disorder) Counselor · Plymouth, MI

NPI number 1972389096 Active

Practice location

575 S Main St
Plymouth, MI 48170-1778

Call (734) 451-7800 Map

Mailing address

5302 Westlake Cir
Van Buren Township, MI 48111-6114

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1972389096

Jessica Jackson's National Provider Identifier is 1972389096, issued on Sep 5, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Plymouth, MI. The record was last updated on Sep 5, 2023.