Search › Michigan › 101YP2500X
Shanna Jackson, LPC
NPI 1922492594 · on the registry since 2015 · sole proprietor
Practice
- Address
- 18007 Juliana Ave
Eastpointe, MI 48021 - Phone
- (313) 544-3513
Additional practice sites
- 38271 Mound Rd Bldg B, Sterling Heights, MI
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YP2500X
171M00000X - Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-07
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