MR. Timothy William Jackson, M.A., CASAC

NPI #1538485396 in Bath, New York

Provider Information

NPI Number
1538485396
Entity Type
Individual
Name
MR. Timothy William Jackson, M.A., CASAC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
M.A., CASAC
Enumeration Date
Apr 19, 2010
Last Updated
Mar 16, 2016

Practice Location

Address
115 LIBERTY ST
City
Bath
ZIP Code
14810-1508
Phone
(607) 664-2152

Specialties & Taxonomy Codes

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

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