Jackson, Fredericka Arlene

Jackson, Fredericka Arlene is an sole proprietor health care provider with primary practice located at 38815 Dequindre Rd , Troy MI 48083-5769. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Jackson, Fredericka Arlene can be contacted via phone (248) 250-7323.

Contact Information

Primary practice address
38815 Dequindre Rd Troy MI 48083-5769
Phone: (248) 250-7323
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 6301008884 Michigan
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301008884 Michigan

Profile Details

NPI number 1922089531
LBN Legal business name Jackson, Fredericka Arlene
Credentials PH.D. CAC II
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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