Individual
JOSHUA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.ED., MPS
Contact information
Practice address
1360 CREEKBEND CT, ANN ARBOR, MI 48104-4275
(734) 474-5509
Mailing address
1360 CREEKBEND CT, ANN ARBOR, MI 48104-4275
(734) 474-5509
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6352001122
MI
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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