Individual
FELICIA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
24755 5 MILE RD STE 107, REDFORD, MI 48239-3665
(313) 535-3035
(313) 535-3035
Mailing address
24755 5 MILE RD STE 107, REDFORD, MI 48239-3665
(313) 535-3035
(313) 535-3035
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401011892
MI
Other
Enumeration date
06/03/2010
Last updated
08/03/2012
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