Individual
ALISHA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 MICHIGAN AVE W, BATTLE CREEK, MI 49017-3602
(269) 966-1460
(269) 966-2844
Mailing address
140 MICHIGAN AVE W, BATTLE CREEK, MI 49017-3602
(269) 966-1460
(269) 966-2844
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801108158
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801108158
LICENSE NUMBER
MI
Enumeration date
10/01/2020
Last updated
10/01/2020
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