Individual
MS. DEBORAH JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 HAMILTON AVENUE, MONTICELLO, NY 12701
(845) 794-8080
(845) 796-3799
Mailing address
17 HAMILTON AVENUE, MONTICELLO, NY 12701
(845) 794-8080
(845) 796-3799
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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