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Lisa Lynnette Jackson, LLPC
Mental Health Counselor in Ann Arbor, Michigan
NPI 1891225397

Lisa Lynnette Jackson is a Mental Health Counselor based in Ann Arbor, MI and is specialized in Mental Health. Lisa Lynnette Jackson practices in Ann Arbor, MI and has the professional credentials of LLPC. The NPI Number for Lisa Lynnette Jackson is 1891225397 and holds a License No. 6451016062 (Michigan).

The current practice location address for Lisa Lynnette Jackson is 501 N Maple Rd, Ann Arbor, MI and can be reached out via phone at 800-395-3223.

Location: 501 N Maple Rd, Ann Arbor, MI, 48103-2827
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891225397
Provider Name
Lisa Lynnette Jackson
Credential
LLPC
Provider Entity Type
Individual
Gender
Female
Address
501 N Maple Rd, Ann Arbor, MI, 48103-2827
Phone Number
800-395-3223
Fax Number
Provider Enumeration Date
06/16/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
501 N Maple Rd
City
Ann Arbor
State
Michigan
Zip
48103-2827
Phone Number
800-395-3223
Fax Number
person
Provider Business Mailing Address Details
Address
501 N Maple Rd
City
Ann Arbor
State
Michigan
Zip
48103-2827
Phone Number
800-395-3223
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
6451016062 (Michigan)
Definition
Definition to come...
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