Individual
BRIDGETT JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
106 HIGH ST, NEWARK, NY 14513-1471
(315) 670-7138
Mailing address
39 BELDEN AVE, SODUS, NY 14551-1024
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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