Individual
JAKITA M CRISWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29260 FRANKLIN RD, SOUTHFIELD, MI 48034-1161
(947) 622-8944
Mailing address
26345 W 7 MILE RD APT 230, REDFORD, MI 48240-1915
(313) 424-3670
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4151001011
MI
Other
Enumeration date
10/15/2018
Last updated
03/11/2025
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