Mr. Kenneth T Jackson, MASTERS
Mr. Kenneth T Jackson, MASTERS is an Addiction (Substance Use Disorder) Counselor in Warren, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2011
Practice location Address checks out
25506 Virginia DrWarren, MI 48091-6002
Phone: (313) 492-5119
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X (MI) |
|---|
Record details
| NPI number | 1639469026 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MASTERS |
| Sole proprietor | Yes |
| NPI enumerated | April 19, 2011 |
| Last updated in NPPES | April 19, 2011 |
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