Individual provider · Type 1 NPI

Tanaisha Jackson

Mental Health Counselor · New York, NY

NPI number 1659911360 Active

Practice location

73 Lenox Ave
New York, NY 10026-3007

Call (212) 663-1596 Map

Mailing address

321 E 153rd St Apt 1D
Bronx, NY 10451-4942

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1659911360

Tanaisha Jackson's National Provider Identifier is 1659911360, issued on Jan 10, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New York, NY. The record was last updated on Jan 10, 2020.