LISA LYNNETTE JACKSON LLPC NPI 1891225397

NPI Information

NPI: 1891225397
Provider Name: LISA LYNNETTE JACKSON, LLPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
501 N MAPLE RD
ANN ARBOR, MI
ZIP 48103
Phone: (800) 395-3223
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Lisa Lynnette Jackson, LLPC is a mental health counselor in Ann Arbor, MI. Lisa Lynnette Jackson, LLPC NPI is 1891225397. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

501 N MAPLE RD
ANN ARBOR, MI
ZIP 48103-827
Phone: (800) 395-3223

The enumeration date for this NPI number is 6/16/2017 and was last updated on 9/19/2021.

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	101YM0800X	Counselor	Mental Health	6451016062	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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