Individual
JOANNE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RH
Contact information
Practice address
3625 22ND ST, WYANDOTTE, MI 48192-6336
(734) 365-2863
Mailing address
3625 22ND ST, WYANDOTTE, MI 48192-6336
(734) 365-2863
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
172V00000X
Community Health Worker
—
—
175L00000X
Homeopath
—
—
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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