Organization
JACKSON'S COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VALERIE F JACKSON LMSW (PROPRIETOR/PSYCHOTHERAPIST)
(810) 845-6465
Entity
Organization
Contact information
Practice address
G3163 FLUSHING RD, SUITE 214, FLINT, MI 48504-4365
(810) 845-6465
(810) 733-7317
Mailing address
PO BOX 314, SWARTZ CREEK, MI 48473-0314
(810) 845-6465
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
6801077180
MI
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MI5755
MEDICARE PTAN
MI
Enumeration date
08/14/2015
Last updated
01/06/2022
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