Individual
RICARDO JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
175 REMSEN ST, 10TH FLOOR, BROOKLYN, NY 11201-4300
(718) 852-5552
(718) 852-5666
Mailing address
175 REMSEN ST, 10TH FLOOR, BROOKLYN, NY 11201-4300
(718) 852-5552
(718) 852-5666
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6092
NY
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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