Mr. Roderick O. Jackson, CPSS
Mr. Roderick O. Jackson, CPSS is an Addiction (Substance Use Disorder) Counselor in Highland Park, Michigan. Practices as a sole proprietor. Registered with an NPI since 2009.
- In the registry since
- 2009
Practice location Address checks out
211 Glendale StHighland Park, MI 48203-3231
Phone: (313) 459-4802
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1801120779 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CPSS |
| Sole proprietor | Yes |
| NPI enumerated | September 25, 2009 |
| Last updated in NPPES | September 25, 2009 |
| Mailing address | 9176 Dixie, Redford, MI 48239-1516 |
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