person
Tanaisha Jackson
Mental Health Counselor in New York, New York
NPI 1659911360

Tanaisha Jackson is a Mental Health Counselor based in Bronx, NY and is specialized in Mental Health. Tanaisha Jackson practices in New York, NY. The NPI Number for Tanaisha Jackson is 1659911360 and holds a License No. (New York).

The current practice location address for Tanaisha Jackson is 73 Lenox Ave, New York, NY and can be reached out via phone at 212-663-1596.

Location: 73 Lenox Ave, New York, NY, 10451-4942
person
Provider Profile Details
NPI Number
1659911360
Provider Name
Tanaisha Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
73 Lenox Ave, New York, NY, 10451-4942
Phone Number
212-663-1596
Fax Number
Provider Enumeration Date
01/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
73 Lenox Ave
City
State
Zip
10026-3007
Phone Number
212-663-1596
Fax Number
person
Provider Business Mailing Address Details
Address
73 Lenox Ave
City
State
Zip
10026-3007
Phone Number
212-663-1596
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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