RICKEY T. JACKSON

TAYLOR, MI
NPI1962428748
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC2200X Psychologist, Clinical Child & Adolescent
Additional Taxonomies103T00000X Psychologist
(Licence: MI  6301008412)
Enumeration Date2006-07-14
Last Update Date2007-07-08
Business Address
Prof. RICKEY T. JACKSON Psy. S.
20600 EUREKA RD SUITE 819
TAYLOR, MI 48180-5343
Phone number: 734-285-8282
Mailing Address
Prof. RICKEY T. JACKSON Psy. S.
17360 BIRCHCREST DR
DETROIT, MI 48221-2733
Phone number: 313-861-4027