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Organization
EVERLASTING HOPE PLLC
Active
Organization
EVERLASTING HOPE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL ANN JACKSON LMSW, MSW, MBA (CLINICAL THERAPIST)
(313) 775-6335
Entity
Organization
Contact information
Practice address
2901 S ETHEL ST, DETROIT, MI 48217-1531
(313) 775-6335
Mailing address
2901 S ETHEL ST, DETROIT, MI 48217-1531
(313) 775-6335
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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