MR. RODERICK JACKSON, C.P.S.S.
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1801120779
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | - |
Frequently Asked Questions
NPI 1801120779 is the National Provider Identifier for MR. RODERICK JACKSON, C.P.S.S., a Counselor - Addiction (Substance Use Disorder) provider located in Highland Park, MI. This NPI was enumerated on September 25, 2009.
MR. RODERICK JACKSON, C.P.S.S. practices at 211 GLENDALE ST, Highland Park, MI 48203.
Quick Facts
- NPI
- 1801120779
- Type
- Individual
- Enumerated
- Sep 25, 2009
- Last Updated
- Sep 25, 2009
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