Individual provider · Type 1 NPI

Troy Jackson

Addiction (Substance Use Disorder) Counselor · Farmingville, NY

NPI number 1699564203 Active

Practice location

100 Granny Rd
Farmingville, NY 11738-2879

Call (631) 696-4357 Map

Mailing address

1377 Motor Pkwy Ste 102
Islandia, NY 11749-5249

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1699564203

Troy Jackson's National Provider Identifier is 1699564203, issued on May 1, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Farmingville, NY. The record was last updated on May 1, 2025.