person
Tiffany Nicole Jackson, LMHC
Mental Health Counselor in Chittenango, New York
NPI 1245892694

Tiffany Nicole Jackson is a Mental Health Counselor based in Chittenango, NY and is specialized in Mental Health. Tiffany Nicole Jackson practices in Chittenango, NY and has the professional credentials of LMHC. The NPI Number for Tiffany Nicole Jackson is 1245892694 and holds a License No. 005758 (New York).

The current practice location address for Tiffany Nicole Jackson is 6292 Dyke Rd, Chittenango, NY and can be reached out via phone at 315-418-6198.

Location: 6292 Dyke Rd, Chittenango, NY, 13037-9404
person
Provider Profile Details
NPI Number
1245892694
Provider Name
Tiffany Nicole Jackson
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
6292 Dyke Rd, Chittenango, NY, 13037-9404
Phone Number
315-418-6198
Fax Number
Provider Enumeration Date
07/06/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6292 Dyke Rd
City
State
Zip
13037-9404
Phone Number
315-418-6198
Fax Number
person
Provider Business Mailing Address Details
Address
6292 Dyke Rd
City
State
Zip
13037-9404
Phone Number
315-418-6198
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
005758 (New York)
Definition
Definition to come...
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