Individual
DR. FREDERICKA ARLENE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D. CAC II
Contact information
Practice address
38815 DEQUINDRE RD, TROY, MI 48083-5769
(248) 250-7323
Mailing address
43220 FOUNTAIN DR, STERLING HEIGHTS, MI 48313-2394
(586) 532-9948
(586) 263-2762
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
6301008884
MI
103TC0700X
Clinical Psychologist
6301008884
MI
Other
Enumeration date
11/10/2005
Last updated
09/11/2025
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