Individual
SONYA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5003 JERICHO TPKE # 1050, COMMACK, NY 11725-2842
(716) 253-1551
Mailing address
5003 JERICHO TPKE STE 1050, COMMACK, NY 11725-2842
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
NY
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/30/2025
Last updated
02/13/2026
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