JACKSON MOREHEAD NPI 1790319101

NPI Information

NPI: 1790319101
Provider Name: JACKSON MOREHEAD
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
120 W MAIN ST STE 207
NORTHVILLE, MI
ZIP 48167
Phone: (734) 738-0897
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Jackson Morehead is a professional counselor in Northville, MI. Jackson Morehead NPI is 1790319101. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

120 W MAIN ST STE 207
NORTHVILLE, MI
ZIP 48167-584
Phone: (734) 738-0897

The enumeration date for this NPI number is 2/24/2020 and was last updated on 8/1/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103T00000X	Psychologist		6301018373	MICHIGAN	No
2	101YP2500X	Counselor	Professional	6401222657	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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