| Kiesha Jackson, | |
|
30000 Hiveley St, Inkster, MI 48141-1089 | |
| (313) 218-6832 | |
| Not Available |
| Full Name | Kiesha Jackson |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 4 Years |
| Location | 30000 Hiveley St, Inkster, Michigan |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477127611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Primary |
| Entity Name | A Path to Peace LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083259345 PECOS PAC ID: 1759722317 Enrollment ID: O20240514001115 |
| Mailing Address | Practice Location Address |
|---|---|
| Kiesha Jackson, 22200 W 11 Mile Rd Unit 3663, Southfield, MI 48037-7107 Ph: Not Available | Kiesha Jackson, 30000 Hiveley St, Inkster, MI 48141-1089 Ph: (313) 218-6832 |
Ms. Sharhonda Grimmett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1403 Inkster Rd, Inkster, MI 48141 Phone: 313-565-2200 |
Parise King, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1403 Inkster Rd, Inkster, MI 48141 Phone: 313-565-2200 |
Jalyn Ross, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 26429 Michigan Ave, Inkster, MI 48141 Phone: 734-713-9271 |
Erika Reddick, Counselor Medicare: Not Enrolled in Medicare Practice Location: 26465 Dartmouth St Apt 3, Inkster, MI 48141 Phone: 313-329-4173 |
Renee Massey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 650 Tobin Dr, #8, Inkster, MI 48141 Phone: 313-989-7903 |
Yanely Silva, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2630 Hamlin Dr Apt 304, Inkster, MI 48141 Phone: 323-236-4472 |
Mrs. Crystal Abraham, Counselor Medicare: Not Enrolled in Medicare Practice Location: 30000 Hiveley St, Inkster, MI 48141 Phone: 734-728-3400 |