CORRYN HELEN JACKSON LPC NPI 1841802469

NPI Information

  • NPI: 1841802469
  • Provider Name: CORRYN HELEN JACKSON, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 19855 OUTER DR STE 300
    DEARBORN, MI
    ZIP 48124
  • Phone: (313) 359-1977

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NPI Details

Corryn Helen Jackson, LPC is a professional counselor in Dearborn, MI. Corryn Helen Jackson, LPC 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 NPI 1841802469 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 8/17/2020 and was last updated on 11/14/2023.

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
1101YP2500XCounselorProfessional6401016806MICHIGANYes

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: 11/21/2025

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