Troy Jackson
NPI #1699564203 in Farmingville, New York
Provider Information
- NPI Number
- 1699564203
- Entity Type
- Individual
- Name
- Troy Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- May 1, 2025
- Last Updated
- May 1, 2025
Practice Location
- Address
- 100 GRANNY RD
- City
- Farmingville
- State
- New York
- ZIP Code
- 11738-2879
- Phone
- (631) 696-4357
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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