Jackson, Monique
Jackson, Monique is an individual health care provider with primary practice located at 4410 W 13 Mile Rd , Royal Oak MI 48073-6515. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Jackson, Monique can be contacted via phone (248) 554-6414.Contact Information
Primary practice address
4410 W 13 Mile Rd
Royal Oak MI 48073-6515
Phone: (248) 554-6414
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 6401017459 | Michigan |
Profile Details
| NPI number | 1114579208 |
|---|---|
| LBN Legal business name | Jackson, Monique |
| Credentials | LLPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2019 |
| Last updated | Jul 10th, 2019 - about 7 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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