Tanja Decarlo-Jackson
NPI #1073722161 in Madison Heights, Michigan
Provider Information
- NPI Number
- 1073722161
- Entity Type
- Individual
- Name
- Tanja Decarlo-Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- May 22, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1400 E 12 MILE RD
- City
- Madison Heights
- State
- Michigan
- ZIP Code
- 48071-2651
- Phone
- (248) 547-2223
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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