DR. Fredericka Arlene Jackson, PH.D. CAC II

NPI #1922089531 in Troy, Michigan

Provider Information

NPI Number: 1922089531
Entity Type: Individual
Name: DR. Fredericka Arlene Jackson, PH.D. CAC II
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Addiction (Substance Use Disorder)
Credential: PH.D. CAC II
Enumeration Date: Nov 10, 2005
Last Updated: Sep 11, 2025

Practice Location

Address: 38815 DEQUINDRE RD
City: Troy
State: Michigan
ZIP Code: 48083-5769
Phone: (248) 250-7323

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	103TA0400X	Primary
Psychologist - Clinical — Clinical	103TC0700X

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