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Jackson Behavioral Services
Medical Specialty Clinic/Center in Jackson, Michigan
NPI 1306957444

Jackson Behavioral Services is a Medical Specialty Clinic/Center based in Jackson, MI and is specialized in Medical Specialty. Jackson Behavioral Services practices in Jackson, MI. The NPI Number for Jackson Behavioral Services is 1306957444 and holds a License No. 6301010119 (Michigan).

The current practice location address for Jackson Behavioral Services is 209 E Washington Ave, Jackson, MI and can be reached out via phone at 517-780-0809 and via fax at 517-788-5922. You can also correspond with Jackson Behavioral Services through the mailing address at 209 E WASHINGTON AVE, JACKSON, MI - 49201-2393 (mailing address contact number: 517-780-0809).

Location: 209 E Washington Ave, Jackson, MI, 49201-2393
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306957444
Provider Name
Jackson Behavioral Services
Credential
Provider Entity Type
Organization
Address
209 E Washington Ave, Jackson, MI, 49201-2393
Phone Number
517-780-0809
Fax Number
517-788-5922
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
209 E Washington Ave
City
Jackson
State
Michigan
Zip
49201-2393
Phone Number
517-780-0809
Fax Number
517-788-5922
person
Provider Business Mailing Address Details
Address
209 E Washington Ave
City
Jackson
State
Michigan
Zip
49201-2393
Phone Number
517-780-0809
Fax Number
517-788-5922
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
4301044183 (Michigan)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
6302006268 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
6301010119 (Michigan)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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