Dr Ulysses Jackson Licensed Mental Health Counseling Pllc

NPI #1861112336 in Deer Park, New York

Provider Information

NPI Number: 1861112336
Entity Type: Organization
Organization Name: Dr Ulysses Jackson Licensed Mental Health Counseling Pllc
Primary Specialty: Counselor - Mental Health
Enumeration Date: Sep 2, 2022
Last Updated: Sep 2, 2022

Practice Location

Address: 89 WASHINGTON AVE
City: Deer Park
State: New York
ZIP Code: 11729-6917
Phone: (631) 767-9294

Authorized Official

Name: DR. ULYSSES JACKSON
Title: OWNER
Phone: (631) 767-9294

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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