Organization
POWER SOARCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN M JACKSON LPC (LPC)
(248) 932-3935
Entity
Organization
Contact information
Practice address
3869 TERRYBROOK RD, WEST BLOOMFIELD, MI 48322-1737
(248) 932-3935
Mailing address
3869 TERRYBROOK RD, WEST BLOOMFIELD, MI 48322-1737
(248) 932-3935
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/10/2021
Last updated
03/11/2021
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