Nina Yvonne Jackson, LPC

NPI #1518450899 in Wayne, Michigan

Provider Information

NPI Number: 1518450899
Entity Type: Individual
Name: Nina Yvonne Jackson, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Jun 11, 2018
Last Updated: Jun 11, 2018

Practice Location

Address: 34841 VETERANS PLZ
City: Wayne
State: Michigan
ZIP Code: 48184-1733
Phone: (313) 292-7640

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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