Amanda Marie Jackson

NPI #1073350781 in Clio, Michigan

Provider Information

NPI Number: 1073350781
Entity Type: Individual
Name: Amanda Marie Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Jul 10, 2024
Last Updated: Jul 10, 2024

Practice Location

Address: 5099 W FARRAND RD
City: Clio
State: Michigan
ZIP Code: 48420-8215
Phone: (586) 491-1057

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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Julie A Kozlow, RSWT CPS CCJP CADC	Counselor - Addiction (Substance Use Disorder)	Sterling	AI Deep Dive
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Organizations

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Manna of Detroit Inc.	Counselor - Addiction (Substance Use Disorder)	Detroit	AI Deep Dive

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