Ulysses Jackson

NPI #1376962647 in Deer Park, New York

Provider Information

NPI Number
1376962647
Entity Type
Individual
Name
Ulysses Jackson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Apr 15, 2014
Last Updated
Nov 10, 2025

Practice Location

Address
89 WASHINGTON AVE
ZIP Code
11729-6917
Phone
(631) 767-9294

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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