Jackson, Lenora

Jackson, Lenora is an sole proprietor health care provider with primary practice located at 18518 Saint Marys St , Detroit MI 48235-2964. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Jackson, Lenora can be contacted via phone (313) 623-6235.

Contact Information

Primary practice address
18518 Saint Marys St Detroit MI 48235-2964
Phone: (313) 623-6235
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 2136060208 Michigan

Profile Details

NPI number 1184254401
LBN Legal business name Jackson, Lenora
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2020
Last updated Mar 12th, 2021 - about 5 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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