IndividualActive
Amanda Jackson
NPI 1073350781 · Addiction (Substance Use Disorder) Counselor · Clio, MI
Provider details
- NPI number
- 1073350781
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
5099 W Farrand Rd
Clio, MI 48420-8215
Phone: (586) 491-1057
Fax: (810) 496-4295
Approximate (ZIP-level) locationGet directions
Mailing address
5099 W Farrand Rd
Clio, MI 48420-8215
Registry dates
- Enumerated
- 2024-07-10
- Last updated
- 2024-07-10
- Certified
- 2024-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.