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JESSICA JACKSON
NPI 1972389096
Counselor - Addiction (Substance Use Disorder) in Plymouth, MI

Active since September 05, 2023
575 S MAIN ST, PLYMOUTH, MI 48170(734) 451-7800 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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
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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.

PATRICE HORNBUCKLE LLMSW
Counselor (Addiction (Substance Use Disorder))
575 S MAIN ST
PLYMOUTH, MI 48170
Wayne County (734) 451-7800
PROF. QUTRELL MURRAY
Case Manager/Care Coordinator
575 S MAIN ST
PLYMOUTH, MI 48170
Wayne County (734) 451-7800
JENNIFER THERESA BURKE MA
Counselor (Addiction (Substance Use Disorder))
575 S MAIN ST
PLYMOUTH, MI 48170
Wayne County (248) 213-7276
ROBERT ALAN FARRELL
Counselor (Addiction (Substance Use Disorder))
575 S MAIN ST
PLYMOUTH, MI 48170
Wayne County (734) 451-7800
JONATHAN DOHRING
Counselor (Addiction (Substance Use Disorder))
575 S MAIN ST
PLYMOUTH, MI 48170
Wayne County (734) 451-7800
MR. ROBERT S ANDERSON II BS, MPA, CAS, CPC
Counselor (Addiction (Substance Use Disorder))
575 S MAIN ST
PLYMOUTH, MI 48170
Wayne County (734) 451-7800
PATRICIA ANN BARAN-BUBIK BA
Case Manager/Care Coordinator
575 S MAIN ST
PLYMOUTH, MI 48170
Wayne County (734) 386-0314
OLUWATOSIN OGUNJOBI
Social Worker (Clinical)
575 S MAIN ST, STE 6
PLYMOUTH, MI 48170
Wayne County (734) 451-7800

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 Jessica Jackson's NPI number?

The NPI number for Jessica Jackson is 1972389096. It was assigned to this individual provider in the NPPES registry on September 5, 2023.

Where is Jessica Jackson located?

Jessica Jackson practices at 575 S Main St, Plymouth, MI 48170. The listed phone number is (734) 451-7800.

What is Jessica 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 Jessica Jackson was last updated on September 5, 2023. 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.