Tiffany Nicole Jackson, LMHC
NPI #1245892694 in Chittenango, New York
Provider Information
- NPI Number
- 1245892694
- Entity Type
- Individual
- Name
- Tiffany Nicole Jackson, LMHC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LMHC
- Enumeration Date
- Jul 6, 2019
- Last Updated
- Jul 6, 2019
Practice Location
- Address
- 6292 DYKE RD
- City
- Chittenango
- State
- New York
- ZIP Code
- 13037-9404
- Phone
- (315) 418-6198
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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