MR. JERRY JACKSON, BA
Social Worker - Clinical
Active
Individual
NPI: 1528182102
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | No | - |
| Marriage & Family Therapist | 106H00000X | No | - |
| Social Worker - Clinical | 1041C0700X | Yes | - |
Frequently Asked Questions
NPI 1528182102 is the National Provider Identifier for MR. JERRY JACKSON, BA, a Social Worker - Clinical provider located in Detroit, MI. This NPI was enumerated on March 19, 2007.
MR. JERRY JACKSON, BA practices at 2925 RUSSELL ST, Detroit, MI 48207.
Quick Facts
- NPI
- 1528182102
- Type
- Individual
- Enumerated
- Mar 19, 2007
- Last Updated
- Oct 10, 2024
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