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Tanja Decarlo-jackson
Addiction (Substance Use Disorder) Counselor in Madison Heights, Michigan
NPI 1073722161

Tanja Decarlo-jackson is an Addiction (Substance Use Disorder) Counselor based in Detroit, MI and is specialized in Addiction (Substance Use Disorder). Tanja Decarlo-jackson practices in Madison Heights, MI. The NPI Number for Tanja Decarlo-jackson is 1073722161 and holds a License No. (Michigan).

The current practice location address for Tanja Decarlo-jackson is 1400 E 12 Mile Rd, Madison Heights, MI and can be reached out via phone at 248-547-2223.

Location: 1400 E 12 Mile Rd, Madison Heights, MI, 48235-2309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073722161
Provider Name
Tanja Decarlo-jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1400 E 12 Mile Rd, Madison Heights, MI, 48235-2309
Phone Number
248-547-2223
Fax Number
Provider Enumeration Date
05/22/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1400 E 12 Mile Rd
City
Madison Heights
State
Michigan
Zip
48071-2651
Phone Number
248-547-2223
Fax Number
person
Provider Business Mailing Address Details
Address
1400 E 12 Mile Rd
City
Madison Heights
State
Michigan
Zip
48071-2651
Phone Number
248-547-2223
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
(Michigan)
Definition
Definition to come...
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