person
Charlotte L Jackson, MS
Addiction (Substance Use Disorder) Counselor in Monroe, Michigan
NPI 1356528590

Charlotte L Jackson is an Addiction (Substance Use Disorder) Counselor based in Monroe, MI and is specialized in Addiction (Substance Use Disorder). Charlotte L Jackson practices in Monroe, MI and has the professional credentials of MS. The NPI Number for Charlotte L Jackson is 1356528590 and holds a License No. (Michigan).

The current practice location address for Charlotte L Jackson is 14733 S Telegraph Rd, Monroe, MI and can be reached out via phone at 734-243-8707 and via fax at 734-243-8710. You can also correspond with Charlotte L Jackson through the mailing address at 14733 S TELEGRAPH RD, MONROE, MI - 48161-9545 (mailing address contact number: 734-243-8707).

Location: 14733 S Telegraph Rd, Monroe, MI, 48161-9545
person
Provider Profile Details
NPI Number
1356528590
Provider Name
Charlotte L Jackson
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
14733 S Telegraph Rd, Monroe, MI, 48161-9545
Phone Number
734-243-8707
Fax Number
734-243-8710
Provider Enumeration Date
01/30/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2604097 05 OH
institution
Provider Business Practice Location Address Details
Address
14733 S Telegraph Rd
City
State
Zip
48161-9545
Phone Number
734-243-8707
Fax Number
734-243-8710
person
Provider Business Mailing Address Details
Address
14733 S Telegraph Rd
City
State
Zip
48161-9545
Phone Number
734-243-8707
Fax Number
734-243-8710
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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