Individual provider · Type 1 NPI

Jeanette Jackson, COUNSELOR

Addiction (Substance Use Disorder) Counselor · Brooklyn, NY

NPI number 1184856239 Active

Practice location

1300 Avenue P
Brooklyn, NY 11229-1106

Call (718) 954-3800 Map

Fax (718) 954-3767

Mailing address

1118 Decatur St
Brooklyn, NY 11207-1128

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X21300 (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1184856239

Jeanette Jackson, COUNSELOR's National Provider Identifier is 1184856239, issued on Aug 21, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Brooklyn, NY. The record was last updated on Aug 21, 2009.