Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Marie Jackson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1073350781

Amanda Marie Jackson is an Addiction (Substance Use Disorder) Counselor in Clio, Michigan. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

5099 W Farrand Rd
Clio, MI 48420-8215
Phone: (586) 491-1057
Fax: (810) 496-4295
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1073350781
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 10, 2024
Last updated in NPPESJuly 10, 2024
Certification dateJuly 10, 2024
Mailing address5099 W Farrand Rd, Clio, MI 48420-8215

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