IndividualActive
Altrosius Jackson
NPI 1659585065 · Addiction (Substance Use Disorder) Counselor · Detroit, MI
Provider details
- NPI number
- 1659585065
- 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
8809 John C. Lodge
Detroit, MI 48202
Phone: (313) 887-6749
Fax: (313) 876-0532
Approximate (ZIP-level) locationGet directions
Mailing address
8809 John C. Lodge
Detroit, MI 48202
Registry dates
- Enumerated
- 2007-05-09
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.