Tamara T Jackson
Tamara T Jackson is an Addiction (Substance Use Disorder) Counselor in Grand Rapids, Michigan. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
40 Jefferson Ave SEGrand Rapids, MI 49503-4304
Phone: (616) 456-1443
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1164061073 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 26, 2019 |
| Last updated in NPPES | December 26, 2019 |
| Certification date | December 26, 2019 |
| Mailing address | 40 Jefferson Ave Se, Grand Rapids, MI 49503-4304 |
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