Organization
JACKSON COUNSELING AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ALLEN JACKSON SR. LMSW LCSW (DIRECTOR AND OWNER)
(734) 913-9225
Entity
Organization
Contact information
Practice address
1900 W STADIUM BLVD, 6&7, ANN ARBOR, MI 48103-7008
(734) 913-9225
Mailing address
1900 W STADIUM BLVD, 6&7, ANN ARBOR, MI 48103-7008
(734) 913-9225
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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