Ortagus Davour Jackson, CERTIFICATE
Ortagus Davour Jackson, CERTIFICATE is an Addiction (Substance Use Disorder) Counselor in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2026
Practice location Address checks out
18939 Schoenherr StDetroit, MI 48205-2205
Phone: (313) 300-7599
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 172V00000X (MI) |
|---|
Record details
| NPI number | 1376491258 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CERTIFICATE |
| Sole proprietor | Yes |
| NPI enumerated | March 18, 2026 |
| Last updated in NPPES | March 24, 2026 |
| Certification date | March 24, 2026 |
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