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Search › Michigan › 1041C0700X

Michael Jackson, LMSW

NPI 1063809846 · on the registry since 2015

Practice

Address
707 W Milwaukee St
Detroit, MI 48202
Phone
(334) 233-2391
Organisation at this address
Detroit Wayne Mental Health Authority
Detroit Wayne Mental Health Authority
Detroit Wayne Integrated Health Network
Inferred from a shared address, not stated in the registry.
Clinicians at this address
263

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
247200000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-10-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan