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AMANDA MARIE JACKSON
NPI 1073350781
Counselor - Addiction (Substance Use Disorder) in Clio, MI

Active since July 10, 2024
5099 W FARRAND RD, CLIO, MI 48420(586) 491-1057(810) 496-4295 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amanda Marie Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA MARIE JACKSON (NPI 1073350781) is an individual addiction (substance use disorder) provider in Clio, Michigan and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1073350781
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameAMANDA MARIE JACKSON
Location Address5099 W FARRAND RDClio, MI 48420-8215
Mailing Address5099 W Farrand RdClio, MI 48420-8215 · (586) 491-1057 · Fax (810) 496-4295
Phone(586) 491-1057
Fax(810) 496-4295
Sole ProprietorNo
Enumeration DateJuly 10, 2024
NPPES CertifiedJuly 10, 2024
✔ NPI 1073350781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
5099 W FARRAND RD, Clio, MI 48420
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE LOUISE HERMANN
Substance Abuse Rehabilitation Facility
5099 W FARRAND RD
CLIO, MI 48420
Genesee County (586) 491-7598

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Jackson's NPI number?

The NPI number for Amanda Jackson is 1073350781. It was assigned to this individual provider in the NPPES registry on July 10, 2024.

Where is Amanda Jackson located?

Amanda Jackson practices at 5099 W Farrand Rd, Clio, MI 48420. The listed phone number is (586) 491-1057.

What is Amanda Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Amanda Jackson was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.