Organization
TURN THE PAGE COUNSELING SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICKA ARLENE JACKSON PH.D. (OWNER)
(586) 549-1842
Entity
Organization
Contact information
Practice address
18557 CANAL RD STE 4, CLINTON TOWNSHIP, MI 48038-5821
(586) 549-1842
Mailing address
PO BOX 180817, UTICA, MI 48318-0817
(586) 549-1842
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301008884
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922089531
INDIVIDUAL NPI
MI
Enumeration date
06/12/2009
Last updated
11/02/2009
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