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Organization
DR ULYSSES JACKSON LICENSED MENTAL HEALTH COUNSELING PLLC
Active
Organization
DR ULYSSES JACKSON LICENSED MENTAL HEALTH COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ULYSSES JACKSON (OWNER)
(631) 767-9294
Entity
Organization
Contact information
Practice address
89 WASHINGTON AVE, DEER PARK, NY 11729-6917
(631) 767-9294
Mailing address
89 WASHINGTON AVE, DEER PARK, NY 11729-6917
(631) 767-9294
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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