Ambrosia Nottage-jackson LPC,CRC

NPI 1457616609 - Counselor - 101YP2500X

NPI Details
NPI 1457616609
Gender Female
Enumeration Date 07/12/2012
Last Updated 11/26/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
22550 HALL RD
CLINTON TOWNSHIP MI, 48036-1189, US
Phone (313) 550-3433
Fax
Business Location
22550 HALL RD
CLINTON TWP MI, 48036-1189, US
Phone (586) 850-3011
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Michigan
License Number 6401012758
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According to our database, Mrs. Ambrosia Nottage-jackson LPC,CRC NPI is 1457616609, taxonomy code is 101YP2500X and license number is 6401012758, license state is located at Michigan. Ambrosia Nottage-jackson LPC,CRC physically located at 22550 Hall Rd, Clinton Township MI, 48036-1189. NPI Number Ambrosia Nottage-jackson LPC,CRC has the Individual type.

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1457616609 NPI number is provided on an as is basis without warranty of any kind. 1457616609 is maintained by the National Plan & Provider Enumeration System. The contents of Ambrosia Nottage-jackson LPC,CRC are for informational purposes only.