Mr. Cornell Lee Jackson
Mr. Cornell Lee Jackson is an Addiction (Substance Use Disorder) Counselor in Detroit, Michigan. Practices as a sole proprietor. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
1852 W Grand BlvdDetroit, MI 48208-1006
Phone: (313) 894-8444
Fax: (313) 894-5542
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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 number | 1851630461 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 4, 2013 |
| Last updated in NPPES | February 4, 2013 |
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