Individual provider · Type 1 NPI

Kristin Jackson

Mental Health Counselor · Dunkirk, NY

NPI number 1972204022 Active

Practice location

186 Lake Shore Dr W
Dunkirk, NY 14048-1437

Mailing address

14 Winding Way
Lakewood, NY 14750-9632

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XP120255 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1972204022

Kristin Jackson's National Provider Identifier is 1972204022, issued on Mar 15, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dunkirk, NY. The record was last updated on Mar 15, 2023.