Individual
DR. MELISSA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
29 W FULTON ST STE D, GLOVERSVILLE, NY 12078-2937
(518) 313-6105
Mailing address
29 W FULTON ST STE D, GLOVERSVILLE, NY 12078-2937
(518) 313-6105
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
018244
NY
Other
Enumeration date
07/12/2007
Last updated
04/22/2024
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