Bryan Michael Jackson
Bryan Michael Jackson is a Clinical Social Worker in Holland, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2023
Practice location Address checks out
170 College Ave Ste 310Holland, MI 49423-2982
Phone: (616) 426-9034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 6851117238 (MI) |
|---|
Record details
| NPI number | 1750166435 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 30, 2023 |
| Last updated in NPPES | August 30, 2023 |
| Certification date | August 26, 2023 |
| Mailing address | 170 College Ave Ste 310, Holland, MI 49423-2982 |
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