Jackson, Thomasene

Jackson, Thomasene is an sole proprietor health care provider with primary practice located at 9315 Telegraph Rd , Redford MI 48239-1260. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Jackson, Thomasene can be contacted via phone (313) 937-9500.

Contact Information

Primary practice address
9315 Telegraph Rd Redford MI 48239-1260
Phone: (313) 937-9500
Fax: (313) 937-9504
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401013156 Michigan
Behavioral Health & Social Service Providers / Counselor 101Y00000X 6401013156 Michigan

Profile Details

NPI number 1831527670
LBN Legal business name Jackson, Thomasene
Credentials LLPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2013
Last updated Apr 13th, 2022 - about 4 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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