Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANTELL M M JACKSON
Active Sole ProprietorSHANTELL M M JACKSON is a Pastoral Counselor healthcare provider located in DETROIT, Michigan. NPI 1386598597 is currently active in the NPPES registry. Verify at CMS.
Pastoral Counselor · DETROIT, MI
Registration Details
- NPI Number
- 1386598597
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 24, 2026 (0.49880250397749 yrs)
- Last Updated
- Feb 24, 2026
- License
-
J250765585757 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
18256 ASHTON AVEDETROIT, MI, 482192957Browse MI providers · Browse ZIP 48219
- Phone
- 3134756685
- Primary Specialty
-
Pastoral Counselor
101YP1600X
Other Pastoral Counselor Providers in DETROIT, MI
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL L. CARR | PH.D., CAC, LPC | 1841392008 |
| MR. KEITH LAMONT DANGERFIELD | D.MIN | 1679675532 |
| MR. PERCY LEE WILLIAMS JR. | M.DIV., M.S. | 1942302815 |
| DR. KIMBERLY ELYSE | PH.D. | 1730320342 |
| TRACI BLALOCK PHILLIPS | B.S. M.S. DMIN. | 1467906784 |
| AUDREY REID | — | 1992670871 |
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.