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

Mr. Jerry Camal Jackson, BA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1528182102

Mr. Jerry Camal Jackson, BA is an Addiction (Substance Use Disorder) Counselor in Detroit, Michigan. Works from 2 locations. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
3
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

2925 Russell St
Detroit, MI 48207-4825
Phone: (313) 603-0603
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4710 W Saginaw Hwy Ste 1, Lansing, MI 48917-2654 — (517) 914-2288

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1528182102
Entity typeIndividual (Type 1)
GenderMale
Credentials BA
Sole proprietorNo
NPI enumeratedMarch 19, 2007
Last updated in NPPESOctober 10, 2024
Certification dateOctober 10, 2024

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