Individual
MR. JACKSON WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.A.S.A.C. - T
Contact information
Practice address
2009 3RD AVE, NEW YORK, NY 10029-3208
(121) 234-8466
(212) 348-5427
Mailing address
189 ALLEN ST, NEW YORK, NY 10002-1409
(212) 673-9342
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
NY
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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