person
Mr. Kenneth T Jackson, MASTERS
Addiction (Substance Use Disorder) Counselor in Warren, Michigan
NPI 1639469026

Kenneth T Jackson is an Addiction (Substance Use Disorder) Counselor based in Warren, MI and is specialized in Addiction (Substance Use Disorder). Kenneth T Jackson practices in Warren, MI and has the professional credentials of MASTERS. The NPI Number for Kenneth T Jackson is 1639469026 and holds a License No. (Michigan).

The current practice location address for Kenneth T Jackson is 25506 Virginia Dr, Warren, MI and can be reached out via phone at 313-492-5119. You can also correspond with Kenneth T Jackson through the mailing address at 25506 VIRGINIA DR, WARREN, MI - 48091-6002 (mailing address contact number: 313-492-5119).

Location: 25506 Virginia Dr, Warren, MI, 48091-6002
person
Provider Profile Details
NPI Number
1639469026
Provider Name
Kenneth T Jackson
Credential
MASTERS
Provider Entity Type
Individual
Gender
Male
Address
25506 Virginia Dr, Warren, MI, 48091-6002
Phone Number
313-492-5119
Fax Number
Provider Enumeration Date
04/19/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
25506 Virginia Dr
City
State
Zip
48091-6002
Phone Number
313-492-5119
Fax Number
person
Provider Business Mailing Address Details
Address
25506 Virginia Dr
City
State
Zip
48091-6002
Phone Number
313-492-5119
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(Michigan)
Definition
Definition to come...
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