Individual provider · Type 1 NPI

Shauntay Jackson, LMFT

Marriage & Family Therapist · Bronx, NY

NPI number 1902549405 Active

Practice location

2541 Olinville Ave Apt 4B
Bronx, NY 10467-7491

Call (347) 318-7140 Map

Other practice locations

  • 1178 Broadway Fl 3, New York, NY 10001-5666 · (347) 318-7140

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X002627-01 (NY)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1902549405

Shauntay Jackson, LMFT's National Provider Identifier is 1902549405, issued on Apr 14, 2022. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Bronx, NY. The record was last updated on Dec 30, 2025.