Individual
ORTAGUS DAVOUR JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CERTIFICATE
Contact information
Practice address
18939 SCHOENHERR ST, DETROIT, MI 48205-2205
(313) 300-7599
Mailing address
18939 SCHOENHERR ST, DETROIT, MI 48205-2205
(313) 300-7599
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
172V00000X
MI
Other
Enumeration date
03/18/2026
Last updated
03/24/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us