Individual provider · Type 1 NPI

Nadine Yvette Jackson, CASAC

Addiction (Substance Use Disorder) Counselor · New York, NY

NPI number 1740703560 Active

Practice location

1751 Park Ave
New York, NY 10035-2809

Fax (212) 414-1431

Mailing address

141 W 128th St Apt 7
New York, NY 10027-3027

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X2-11436 (NY)

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

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About NPI 1740703560

Nadine Yvette Jackson, CASAC's National Provider Identifier is 1740703560, issued on Jul 24, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in New York, NY. The record was last updated on Jul 24, 2017.