Individual provider · Type 1 NPI

Tony Jackson

Mental Health Counselor · Rochester, NY

NPI number 1073841185 Active

Practice location

150 Mount Hope Ave
Rochester, NY 14620-1016

Mailing address

1526 Walden Ave, Suite 400
Cheektowaga, NY 14225-4965

Other practice locations

  • 82 Holland St, Rochester, NY 14605-2199 · (585) 423-5800

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1073841185

Tony Jackson's National Provider Identifier is 1073841185, issued on Dec 1, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rochester, NY. The record was last updated on Feb 24, 2023.