Individual
NAUTICA NAAFEA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
79 W ALEXANDRINE ST, DETROIT, MI 48201-2015
(313) 831-5535
(313) 831-2608
Mailing address
79 W ALEXANDRINE ST, DETROIT, MI 48201-2015
(313) 831-5535
(313) 831-2608
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451023616
MI
Other
Enumeration date
06/12/2024
Last updated
02/11/2026
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