JESSICA JACKSON
NPI 1972389096
Counselor - Addiction (Substance Use Disorder) in Plymouth, MI
Active since September 05, 2023
About Jessica Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA JACKSON (NPI 1972389096) is an individual addiction (substance use disorder) provider in Plymouth, Michigan and active in the NPI registry since September 2023.
NPPES Registry Identity
NPI1972389096
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJESSICA JACKSON
Location Address575 S MAIN STPlymouth, MI 48170-1778
Mailing Address5302 Westlake CirVan Buren Twp, MI 48111-6114 · (517) 599-5999
Phone(734) 451-7800
Sole ProprietorNo
Enumeration DateSeptember 5, 2023
NPPES CertifiedSeptember 5, 2023
✔ NPI 1972389096 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
575 S MAIN ST, Plymouth, MI 48170
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
575 S MAIN ST, SUITE 6
PLYMOUTH, MI 48170
PLYMOUTH, MI 48170
Counselor (Addiction (Substance Use Disorder))
575 S MAIN ST, SUITE 6
PLYMOUTH, MI 48170
PLYMOUTH, MI 48170
Counselor (Addiction (Substance Use Disorder))
575 S MAIN ST, SUITE 6
PLYMOUTH, MI 48170
PLYMOUTH, MI 48170
Counselor (Addiction (Substance Use Disorder))
575 S MAIN ST, SUITE 6
PLYMOUTH, MI 48170
PLYMOUTH, MI 48170
Counselor (Addiction (Substance Use Disorder))
575 S MAIN ST
PLYMOUTH, MI 48170
PLYMOUTH, MI 48170
Counselor (Addiction (Substance Use Disorder))
575 S MAIN ST, SUITE 6
PLYMOUTH, MI 48170
PLYMOUTH, MI 48170
Counselor (Addiction (Substance Use Disorder))
575 S MAIN ST, SUITE 6
PLYMOUTH, MI 48170
PLYMOUTH, MI 48170
Counselor (Addiction (Substance Use Disorder))
575 S MAIN ST
PLYMOUTH, MI 48170
PLYMOUTH, MI 48170
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972389096, enumerated as an "individual" on September 05, 2023.
The provider is located at 575 S MAIN ST PLYMOUTH, MI 48170 and the phone number is (734) 451-7800.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
