| Chanell Jackson, | |
|
153 S Pearl St # 206a, Albany, NY 12202-1804 | |
| (838) 839-4786 | |
| Not Available |
| Full Name | Chanell Jackson |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 153 S Pearl St # 206a, Albany, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023915972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 03421001 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Chanell Jackson, 153 S Pearl St # 206a, Albany, NY 12202-1804 Ph: (838) 838-8394 | Chanell Jackson, 153 S Pearl St # 206a, Albany, NY 12202-1804 Ph: (838) 839-4786 |
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