Organization · Type 2 NPI
DR Ulysses Jackson Licensed Mental Health Counseling PLLC
Mental Health Counselor · Deer Park, NY
NPI number
1861112336
Active
Practice location
89 Washington Ave
Deer Park, NY 11729-6917
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
Another provider at this address
Other mental health counselor providers in Deer Park
About NPI 1861112336
DR Ulysses Jackson Licensed Mental Health Counseling PLLC's National Provider Identifier is 1861112336, issued on Sep 2, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Deer Park, NY. The record was last updated on Sep 2, 2022.