Individual
BRANDON JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3250 N MONROE ST, MONROE, MI 48162-9297
(734) 384-3121
Mailing address
13857 KAHLA DR, VAN BUREN TOWNSHIP, MI 48111-7002
(313) 686-8029
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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