Individual
JOY KATHERINE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 E 8TH ST, TRAVERSE CITY, MI 49684-2580
(231) 346-5224
Mailing address
116 E 8TH ST, TRAVERSE CITY, MI 49684-2580
(231) 346-5224
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
05/27/2021
Last updated
01/28/2026
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