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Ms. Roseanne Johnson Jackson
Mental Health Counselor in Buffalo, New York
NPI 1700116993

Roseanne Johnson Jackson is a Mental Health Counselor based in Buffalo, NY and is specialized in Mental Health. Roseanne Johnson Jackson practices in Buffalo, NY. The NPI Number for Roseanne Johnson Jackson is 1700116993 and holds a License No. (New York).

The current practice location address for Roseanne Johnson Jackson is 2128 Elmwood Ave, Buffalo, NY and can be reached out via phone at 716-874-4500.

Location: 2128 Elmwood Ave, Buffalo, NY, 14207-1910
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700116993
Provider Name
Roseanne Johnson Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2128 Elmwood Ave, Buffalo, NY, 14207-1910
Phone Number
716-874-4500
Fax Number
Provider Enumeration Date
01/11/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2128 Elmwood Ave
City
Buffalo
State
New York
Zip
14207-1910
Phone Number
716-874-4500
Fax Number
person
Provider Business Mailing Address Details
Address
2128 Elmwood Ave
City
Buffalo
State
New York
Zip
14207-1910
Phone Number
716-874-4500
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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