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

Tanja Decarlo-Jackson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1073722161

Tanja Decarlo-Jackson is an Addiction (Substance Use Disorder) Counselor in Madison Heights, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007

Practice location Address checks out

1400 E 12 Mile Rd
Madison Heights, MI 48071-2651
Phone: (248) 547-2223
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (MI)

Record details

NPI number1073722161
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 22, 2007
Last updated in NPPESJuly 8, 2007
Mailing address19134 Montrose St, Detroit, MI 48235-2309

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