Individual
JAZMIN L LUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLC
Contact information
Practice address
126 SEYMOUR AVE, JACKSON, MI 49202-3558
(734) 219-3314
Mailing address
126 SEYMOUR AVE, JACKSON, MI 49202-3558
(734) 219-3314
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451023978
MI
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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