Adrianne J Jackson
Counselor, Mental Health in Syracuse, NY. Individual provider (NPI-1).
NPI number1124879986
StatusActive
Last updated in NPPESMar 29, 2024
Details
- NPI
- 1124879986
- Entity type
- Individual (NPI-1)
- Name
- Adrianne J Jackson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2024
- Certification date
- Mar 29, 2024
- Last updated
- Mar 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
1045 James St Ste 100Syracuse, NY 13203-2758
Phone 315-472-4471
Mailing address
1045 James St Ste 100Syracuse, NY 13203-2758
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