TRACEE LOUISE JACKSON

SAINT CLAIR SHORES, MI
NPI1144573338
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MI  6401011830)
Enumeration Date2012-10-25
Last Update Date2025-06-25
Business Address
TRACEE LOUISE JACKSON LPC
22901 W INDUSTRIAL DR STE 105
SAINT CLAIR SHORES, MI 48080-1130
Phone number: 313-980-1254
Mailing Address
TRACEE LOUISE JACKSON LPC
482 ALLARD AVE
GROSSE POINTE FARMS, MI 48236-2812
Phone number: 313-980-1254
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