Lenora Jackson

NPI 1184254401 · on the registry since 2020 · sole proprietor

Practice

Address: 18518 Saint Marys St
Detroit, MI 48235
Phone: (313) 623-6235
Organisation at this address: Mindful Holistic Therapy
Inferred from a shared address, not stated in the registry.

Additional practice sites

16000 W 9 Mile Rd Ste 505, Southfield, MI

Registry record

Primary taxonomy: 106H00000X
106H00000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-03-12

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