Search › Michigan › 1041C0700X
Dominique Jackson, LCSW
NPI 1669042164 · on the registry since 2021 · sole proprietor
Practice
- Address
- 43847 Rushcliffe Dr
Sterling Heights, MI 48313 - Phone
- (586) 610-5990
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-06-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan