Jackson, Gabrielle S
Jackson, Gabrielle S is an individual health care provider with primary practice located at 26300 Outer Dr , Lincoln Park MI 48146-2019. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Jackson, Gabrielle S can be contacted via phone (734) 643-0071.Contact Information
Primary practice address
26300 Outer Dr
Lincoln Park MI 48146-2019
Phone: (734) 643-0071
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 6451023465 | Michigan |
Profile Details
| NPI number | 1073260238 |
|---|---|
| LBN Legal business name | Jackson, Gabrielle S |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2022 |
| Last updated | Feb 5th, 2024 - about 9 months 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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