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Camille Jewell Jackson
Peer Specialist in Westland, Michigan
NPI 1558996132

Camille Jewell Jackson is a Peer Specialist based in Westland, MI. Camille Jewell Jackson practices in Westland, MI. The NPI Number for Camille Jewell Jackson is 1558996132 and holds a License No. (Michigan).

The current practice location address for Camille Jewell Jackson is 8181 N Wayne Rd Apt S2147, Westland, MI and can be reached out via phone at 313-529-0006.

Location: 8181 N Wayne Rd Apt S2147, Westland, MI, 48185-3842
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558996132
Provider Name
Camille Jewell Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
8181 N Wayne Rd Apt S2147, Westland, MI, 48185-3842
Phone Number
313-529-0006
Fax Number
Provider Enumeration Date
03/04/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8181 N Wayne Rd Apt S2147
City
Westland
State
Michigan
Zip
48185-3842
Phone Number
313-529-0006
Fax Number
person
Provider Business Mailing Address Details
Address
8181 N Wayne Rd Apt S2147
City
Westland
State
Michigan
Zip
48185-3842
Phone Number
313-529-0006
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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