Individual provider · Type 1 NPI
Roseanne Johnson Jackson
Mental Health Counselor · Buffalo, NY
NPI number
1700116993
Active
Practice location
2128 Elmwood Ave
Buffalo, NY 14207-1910
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Mental Health Counselor Primary | 101YM0800X | 083560-1 (NY) |
Mental Health Counselor: Definition to come...
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About NPI 1700116993
Roseanne Johnson Jackson's National Provider Identifier is 1700116993, issued on Jan 11, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Buffalo, NY. The record was last updated on Oct 17, 2016.