Individual provider · Type 1 NPI
Tiffany Nicole Jackson, LMHC
Mental Health Counselor · Chittenango, NY
NPI number
1245892694
Active
Practice location
6292 Dyke Rd
Chittenango, NY 13037-9404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 005758 (NY) |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in Chittenango
About NPI 1245892694
Tiffany Nicole Jackson, LMHC's National Provider Identifier is 1245892694, issued on Jul 6, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chittenango, NY. The record was last updated on Jul 6, 2019.