CORRYN HELEN JACKSON LLPC NPI 1841802469

NPI Information

NPI: 1841802469
Provider Name: CORRYN HELEN JACKSON, LLPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
19855 OUTER DR STE 300
DEARBORN, MI
ZIP 48124
Phone: (313) 359-1977
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Corryn Helen Jackson, LLPC is a professional counselor in Dearborn, MI. Corryn Helen Jackson, LLPC NPI is 1841802469. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

19855 OUTER DR STE 300
DEARBORN, MI
ZIP 48124-022
Phone: (313) 359-1977

The enumeration date for this NPI number is 8/17/2020 and was last updated on 8/17/2020.

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	101YP2500X	Counselor	Professional	6401016806	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: 11/14/2023

NPI Synchronization or Removal

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