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Jesse Jackson III, LLPC
Counselor in Detroit, Michigan
NPI 1578756094

Jesse Jackson III is a Counselor based in Detroit, MI. Jesse Jackson III practices in Detroit, MI and has the professional credentials of LLPC. The NPI Number for Jesse Jackson III is 1578756094 and holds a License No. 6401008422 (Michigan).

The current practice location address for Jesse Jackson III is 3011 W Grand Blvd, Detroit, MI and can be reached out via phone at 800-972-4283.

Location: 3011 W Grand Blvd, Detroit, MI, 48202-3096
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Provider Profile Details
NPI Number
1578756094
Provider Name
Jesse Jackson III
Credential
LLPC
Provider Entity Type
Individual
Gender
Male
Address
3011 W Grand Blvd, Detroit, MI, 48202-3096
Phone Number
800-972-4283
Fax Number
Provider Enumeration Date
08/20/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3011 W Grand Blvd
City
State
Zip
48202-3096
Phone Number
800-972-4283
Fax Number
person
Provider Business Mailing Address Details
Address
3011 W Grand Blvd
City
State
Zip
48202-3096
Phone Number
800-972-4283
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
6401008422 (Michigan)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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