MR. Roderick O. Jackson, C.P.S.S.
NPI #1801120779 in Highland Park, Michigan
Provider Information
- NPI Number
- 1801120779
- Entity Type
- Individual
- Name
- MR. Roderick O. Jackson, C.P.S.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- C.P.S.S.
- Enumeration Date
- Sep 25, 2009
- Last Updated
- Sep 25, 2009
Practice Location
- Address
- 211 GLENDALE ST
- City
- Highland Park
- State
- Michigan
- ZIP Code
- 48203-3231
- Phone
- (313) 459-4802
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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