Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. FREDERICKA ARLENE JACKSON, PH.D. CAC II
Active Sole ProprietorDR. FREDERICKA ARLENE JACKSON, PH.D. CAC II is a Addiction (Substance Use Disorder) Psychologist healthcare provider located in TROY, Michigan. NPI 1922089531 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Psychologist · TROY, MI
Registration Details
- NPI Number
- 1922089531
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 10, 2005 (20.792998808664 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
6301008884 (MI)6301008884 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
38815 DEQUINDRE RDTROY, MI, 480835769Browse MI providers · Browse ZIP 48083
- Phone
- 2482507323
- Primary Specialty
-
Addiction (Substance Use Disorder) Psychologist
103TA0400X
- Additional Specialty
- Clinical Psychologist
Other Addiction (Substance Use Disorder) Psychologist Providers in TROY, MI
| Name | Credential | NPI |
|---|---|---|
| MS. DEBORAH ANN BOGLE | M.A., C.A.A.C. | 1285800870 |
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.