ULYSSES JACKSON
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1376962647
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | 24980 (NY) |
Frequently Asked Questions
NPI 1376962647 is the National Provider Identifier for ULYSSES JACKSON, a Counselor - Addiction (Substance Use Disorder) provider located in Deer Park, NY. This NPI was enumerated on April 15, 2014.
ULYSSES JACKSON practices at 89 WASHINGTON AVE, Deer Park, NY 11729.
Quick Facts
- NPI
- 1376962647
- Type
- Individual
- Enumerated
- Apr 15, 2014
- Last Updated
- Nov 10, 2025
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