Kiesha Jackson

NPI #1477127611 in Inkster, Michigan

Provider Information

NPI Number: 1477127611
Entity Type: Individual
Name: Kiesha Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: May 13, 2021
Last Updated: Jun 16, 2021

Practice Location

Address: 30000 HIVELEY ST
City: Inkster
State: Michigan
ZIP Code: 48141-1089
Phone: (313) 218-6832

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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