SHAUNTAY JACKSON, LMFT
Marriage & Family Therapist
Active
Individual
NPI: 1902549405
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Yes | 002627-01 (NY) |
Frequently Asked Questions
NPI 1902549405 is the National Provider Identifier for SHAUNTAY JACKSON, LMFT, a Marriage & Family Therapist provider located in Bronx, NY. This NPI was enumerated on April 14, 2022.
SHAUNTAY JACKSON, LMFT practices at 2541 OLINVILLE AVE APT 4B, Bronx, NY 10467.
Quick Facts
- NPI
- 1902549405
- Type
- Individual
- Enumerated
- Apr 14, 2022
- Last Updated
- Dec 30, 2025
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