Individual
MARK ALLEN DUSSEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLMFT
Contact information
Practice address
1200 N WEST AVE, JACKSON, MI 49202-2179
(800) 284-8288
Mailing address
1200 N WEST AVE, JACKSON, MI 49202-2179
(800) 284-8288
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4151001191
MI
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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