Individual provider · Type 1 NPI

Justin A. Jackson

Peer Specialist · Schenectady, NY

NPI number 1962246629 Active

Practice location

600 Franklin St Ste 204
Schenectady, NY 12305-2107

Call (518) 372-7031 Map

Fax (518) 372-7064

Mailing address

70 Union Ave
Schenectady, NY 12308-2430

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X7214-P (NY)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1962246629

Justin A. Jackson's National Provider Identifier is 1962246629, issued on Jun 19, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Schenectady, NY. The record was last updated on Mar 24, 2025.