Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TANJA DECARLO-JACKSON
ActiveTANJA DECARLO-JACKSON is a Addiction (Substance Use Disorder) Counselor healthcare provider located in MADISON HEIGHTS, Michigan. NPI 1073722161 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · MADISON HEIGHTS, MI
Registration Details
- NPI Number
- 1073722161
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 22, 2007 (19.222239610393 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
1400 E 12 MILE RDMADISON HEIGHTS, MI, 480712651Browse MI providers · Browse ZIP 48071
- Phone
- 2485472223
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in MADISON HEIGHTS, MI
| Name | Credential | NPI |
|---|---|---|
| LAURIE J RILEY | CAC1 | 1952311300 |
| MRS. MARIKA BLUMERICK | CAC1 | 1669596300 |
| MS. IRENE HOSKIN HEARD | M.A., B.S., CAC-R | 1700900404 |
| MRS. DORIAN IVANA REED | — | 1467790444 |
| LINDSEY ELKEN | — | 1528405446 |
| SHELISA TRIPLETT | — | 1396172466 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.