Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RODERICK O. JACKSON, C.P.S.S.
Active Sole ProprietorMR. RODERICK O. JACKSON, C.P.S.S. is a Addiction (Substance Use Disorder) Counselor healthcare provider located in HIGHLAND PARK, Michigan. NPI 1801120779 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · HIGHLAND PARK, MI
Registration Details
- NPI Number
- 1801120779
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 25, 2009 (16.878168451556 yrs)
- Last Updated
- Sep 25, 2009
- Sole Proprietor
- Yes
Practice Information
- Address
-
211 GLENDALE STHIGHLAND PARK, MI, 482033231Browse MI providers · Browse ZIP 48203
- Phone
- 3134594802
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in HIGHLAND PARK, MI
| Name | Credential | NPI |
|---|---|---|
| MS. PAMELA ELAINE ALEXANDER | MS, NCAC II, CAC II | 1083747042 |
| MS. LORETHA HUNTER | MA, SW | 1649303652 |
| MS. EARTHY WINTERS | MA, LLPC | 1184748378 |
| MRS. SUNDRA KOLLIE | M.S. | 1417072018 |
| MR. GERALD WILLIS | F.S.A.C. | 1952428286 |
| CONRAD MICHAEL BOBB-SEMPLE | FAODP | 1376661959 |
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.