SearchConnecticut104100000X

Chance Jackson, LMSW

NPI 1700761236 · on the registry since 2025

Practice

Address
197 Dixwell Ave
New Haven, CT 06511
Phone
(203) 500-2147
Clinicians at this address
7

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-08-05

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 Connecticut