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Elena Jackson, MHC-P
Mental Health Counselor in Rochester, New York
NPI 1750093969

Elena Jackson is a Mental Health Counselor based in Rochester, NY and is specialized in Mental Health. Elena Jackson practices in Rochester, NY and has the professional credentials of MHC-P. The NPI Number for Elena Jackson is 1750093969 and holds a License No. 18-P118924-01 (New York).

The current practice location address for Elena Jackson is 1081 Long Pond Rd Ste 100, Rochester, NY and can be reached out via phone at 585-371-6464.

Location: 1081 Long Pond Rd Ste 100, Rochester, NY, 14626-2913
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750093969
Provider Name
Elena Jackson
Credential
MHC-P
Provider Entity Type
Individual
Gender
Female
Address
1081 Long Pond Rd Ste 100, Rochester, NY, 14626-2913
Phone Number
585-371-6464
Fax Number
Provider Enumeration Date
12/19/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
18-P118924-01 01 NY PERMIT
institution
Provider Business Practice Location Address Details
Address
1081 Long Pond Rd Ste 100
City
Rochester
State
New York
Zip
14626-5002
Phone Number
585-371-6464
Fax Number
person
Provider Business Mailing Address Details
Address
1081 Long Pond Rd Ste 100
City
Rochester
State
New York
Zip
14626-5002
Phone Number
585-371-6464
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
18-P118924-01 (New York)
Definition
Definition to come...
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