Individual
MRS. KAREN ANITA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
8623 N WAYNE RD, WESTLAND, MI 48185-1137
(734) 425-0636
(734) 425-4771
Mailing address
8623 N WAYNE RD, WESTLAND, MI 48185-1137
(734) 425-0636
(734) 425-4771
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401010520
MI
Other
Enumeration date
04/19/2012
Last updated
04/19/2012
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