| Mr Roderick O Jackson, CPSS | |
|
211 Glendale St, Highland Park, MI 48203-3231 | |
| (313) 459-4802 | |
| Not Available |
| Full Name | Mr Roderick O Jackson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 211 Glendale St, Highland Park, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801120779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Roderick O Jackson, CPSS 9176 Dixie, Redford, MI 48239-1516 Ph: (313) 459-4802 | Mr Roderick O Jackson, CPSS 211 Glendale St, Highland Park, MI 48203-3231 Ph: (313) 459-4802 |
Mrs. Mary Marshall, FAODP Counselor Medicare: Not Enrolled in Medicare Practice Location: 91 Glendale St, Highland Park, MI 48203 Phone: 313-263-0077 Fax: 313-883-0442 | |
Shirley Glenn, ASSOCIATES Counselor Medicare: Not Enrolled in Medicare Practice Location: 12501 Hamilton, Highland Park, MI 48203 Phone: 313-587-3092 | |
Ms. Carrie E Daugherty, FAODP Counselor Medicare: Not Enrolled in Medicare Practice Location: 12501 Hamilton Ave, Highland Park, MI 48203 Phone: 313-865-1580 Fax: 313-865-1582 | |
Schari Dixon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 91 Glendale St, Highland Park, MI 48203 Phone: 313-263-0077 | |
Curtis Borders, FOADP Counselor Medicare: Not Enrolled in Medicare Practice Location: 91 Glendale St, Highland Park, MI 48203 Phone: 313-263-0077 Fax: 313-883-0442 | |
Heather Chanelle Browner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12501 Hamilton Ave, Highland Park, MI 48203 Phone: 313-865-1580 Fax: 313-865-1582 | |
Kristin Wunderlin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 77 Victor St, Highland Park, MI 48203 Phone: 313-252-1950 |