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Zannie Roy Jackson JR., PEERSUPPORTSPECIAL
Peer Specialist in Livonia, Michigan
NPI 1568084861

Zannie Roy Jackson JR. is a Peer Specialist based in Livonia, MI. Zannie Roy Jackson JR. practices in Livonia, MI and has the professional credentials of PEERSUPPORTSPECIAL. The NPI Number for Zannie Roy Jackson JR. is 1568084861 and holds a License No. (Michigan).

The current practice location address for Zannie Roy Jackson JR. is 36801 Ann Arbor Trl, Livonia, MI and can be reached out via phone at 313-728-1884.

Location: 36801 Ann Arbor Trl, Livonia, MI, 48150-3422
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568084861
Provider Name
Zannie Roy Jackson JR.
Credential
PEERSUPPORTSPECIAL
Provider Entity Type
Individual
Gender
Male
Address
36801 Ann Arbor Trl, Livonia, MI, 48150-3422
Phone Number
313-728-1884
Fax Number
Provider Enumeration Date
05/11/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
36801 Ann Arbor Trl
City
Livonia
State
Michigan
Zip
48150-3422
Phone Number
313-728-1884
Fax Number
person
Provider Business Mailing Address Details
Address
36801 Ann Arbor Trl
City
Livonia
State
Michigan
Zip
48150-3422
Phone Number
313-728-1884
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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