Search › New York › 1041S0200X
Courtney Jackson, LMSW
NPI 1417679473 · on the registry since 2022
Practice
- Address
- 4115 Lake Ave
Rochester, NY 14612 - Phone
- (585) 324-9273
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 1041S0200X
1041S0200X
- Also registered as
- 104100000X
1041C0700X - Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-09-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York