Individual provider · Type 1 NPI

Jackson Williams, C.A.S.A.C. - T

Counselor · New York, NY

NPI number 1770638462 Active

Practice location

2009 3rd Ave
New York, NY 10029-3208

Fax (212) 348-5427

Mailing address

189 Allen St
New York, NY 10002-1409

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1770638462

Jackson Williams, C.A.S.A.C. - T's National Provider Identifier is 1770638462, issued on Jan 24, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in New York, NY. The record was last updated on Jul 8, 2007.