| Jackson's Counseling Services, LLC | |
|
G3163 Flushing Rd Suite 214 Flint MI 48504-4365 | |
| (810) 845-6465 | |
| (810) 733-7317 |
| Full Name | Jackson's Counseling Services, LLC |
|---|---|
| Speciality | Clinic/center |
| Location | G3163 Flushing Rd, Flint, Michigan |
| Authorized Official Name and Position | Valerie F Jackson (PROPRIETOR/PSYCHOTHERAPIST) |
| Authorized Official Contact | 8108456465 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson's Counseling Services, LLC Po Box 314 Swartz Creek MI 48473-0314 Ph: (810) 845-6465 | Jackson's Counseling Services, LLC G3163 Flushing Rd Suite 214 Flint MI 48504-4365 Ph: (810) 845-6465 |
| NPI Number | 1033585955 |
|---|---|
| Provider Enumeration Date | 08/14/2015 |
| Last Update Date | 01/06/2022 |
| Certification Date | 01/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033585955 | NPI | - | NPPES |
| MI5755 | Other | MI | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| 171M00000X | Case Manager/care Coordinator | 6801077180 (Michigan) | Secondary |
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