Active NPIIndividual providerSole proprietor

Ajaycia Jackson

Counselor in Roxbury, Massachusetts

NPI Number1811624778
Practice location
504 Dudley St, Roxbury, MA 02119-2732
Fax
—
Last updated
August 2, 2022

Ajaycia Jackson is a Counselor based in Roxbury, MA. Ajaycia Jackson practices in Roxbury, MA. The NPI Number for Ajaycia Jackson is 1811624778. The current practice location address for Ajaycia Jackson is 504 Dudley St, Roxbury, MA 02119-2732 and can be reached out via phone at 978-653-0334.

Provider Profile Details

NPI Number
1811624778
Provider Name
Ajaycia Jackson
Provider Entity Type
Individual
Gender
Female
Address
504 Dudley St, Roxbury, MA 02119-2732
Phone Number
978-653-0334
Primary Taxonomy
Counselor · 101Y00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 2, 2022
Last Update Date
August 2, 2022
Certification Date
August 2, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
504 Dudley St
Roxbury, MA 02119-2732
Zip
02119-2732
Phone Number
978-653-0334
Roxbury, MA 02119Get directions →

Provider Business Mailing Address Details

Address
504 Dudley St
Roxbury, MA 02119-2732
City
Roxbury
State
MA
Zip
02119-2732

License Information

Taxonomy
Counselor · 101Y00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ajaycia Jackson?

The NPI number of Ajaycia Jackson is 1811624778. It was assigned on August 2, 2022 and is currently active in the NPPES registry.

What is the specialty of Ajaycia Jackson?

Ajaycia Jackson is registered under the primary taxonomy Counselor (code 101Y00000X).

Where does Ajaycia Jackson practice?

The practice location is 504 Dudley St, Roxbury, MA 02119-2732. The office can be reached at 978-653-0334 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1811624778 directly on the NPPES registry website.

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