Jackson, Alicia

Jackson, Alicia is an individual health care provider with primary practice located at 79 W Alexandrine , Detroit MI 48201-2015. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Jackson, Alicia can be contacted via phone (313) 831-5535.

Contact Information

Primary practice address
79 W Alexandrine Detroit MI 48201-2015
Phone: (313) 831-5535
Fax: (313) 831-2608
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401011272 Michigan

Profile Details

NPI number 1689913147
LBN Legal business name Jackson, Alicia
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2013
Last updated Jan 31st, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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