Individual
STEVEN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAC
Contact information
Practice address
27 NAEK RD STE 4, VERNON, CT 06066-3965
(860) 872-9835
(860) 870-9384
Mailing address
27 NAEK RD STE 4, VERNON, CT 06066-3965
(860) 872-9835
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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