Organization
JACKSON COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH HOUPT (CREDENTIALING)
(517) 676-9797
Entity
Organization
Contact information
Practice address
806 HOGSBACK RD STE C, MASON, MI 48854-8525
(734) 658-1552
Mailing address
PO BOX 10, MASON, MI 48854-0010
(517) 676-9788
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
07/20/2022
Last updated
09/23/2022
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