Individual
JEFFERY HACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
114 E ELM AVE, MONROE, MI 48162-2649
(734) 252-9044
Mailing address
114 E ELM AVE, MONROE, MI 48162-2649
(734) 252-9044
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401016844
MI
Other
Enumeration date
09/24/2018
Last updated
11/16/2022
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