Individual provider · Type 1 NPI
Ava Jackson, MHC-LP
Mental Health Counselor · Newburgh, NY
NPI number
1508786591
Active
Practice location
3 Piccadilly Ct
Newburgh, NY 12550-2435
Mailing address
1441 Broadway Fl 5
New York, NY 10018-1879
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 18-P134324-01 (NY) |
Mental Health Counselor: Definition to come...
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About NPI 1508786591
Ava Jackson, MHC-LP's National Provider Identifier is 1508786591, issued on Jul 20, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Newburgh, NY. The record was last updated on Jul 20, 2026.