| Tiffany Nicole Jackson, LMHC | |
|
6292 Dyke Rd, Chittenango, NY 13037-9404 | |
| (315) 418-6198 | |
| Not Available |
| Full Name | Tiffany Nicole Jackson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 6292 Dyke Rd, Chittenango, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245892694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 005758 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Nicole Jackson, LMHC 6292 Dyke Rd, Chittenango, NY 13037-9404 Ph: (315) 418-6198 | Tiffany Nicole Jackson, LMHC 6292 Dyke Rd, Chittenango, NY 13037-9404 Ph: (315) 418-6198 |
Joseph F. Desantis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1732 Fyler Rd Rm 1001b, Chittenango, NY 13037 Phone: 315-530-7195 | |
Ms. Eileen Deppoliti, M.A. PSYCHOLOGY Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 John St, Chittenango, NY 13037 Phone: 310-727-2919 |