Organization · Type 2 NPI
Jackson Psychological, PLLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Gloversville, NY
NPI number
1043072622
Active
Practice location
29 W Fulton St Ste D
Gloversville, NY 12078-2937
Fax (518) 205-7520
Other practice locations
- 106 Mohawk Ave, Scotia, NY 12302-2248 · (518) 313-6105
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
Another provider at this address
Other mental health clinic/center (including community mental health center) providers in Gloversville
About NPI 1043072622
Jackson Psychological, PLLC's National Provider Identifier is 1043072622, issued on Jan 29, 2024. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Gloversville, NY. The record was last updated on Jan 29, 2024.