Individual provider · Type 1 NPI

Shauna Jackson

Mental Health Counselor · Bronx, NY

NPI number 1316773989 Active

Practice location

2825 3rd Ave Ste 402
Bronx, NY 10455-4073

Fax (718) 228-9820

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1316773989

Shauna Jackson's National Provider Identifier is 1316773989, issued on Sep 11, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bronx, NY. The record was last updated on Sep 11, 2024.