SearchNew York106H00000X

Shauntay Jackson, LMFT

NPI 1902549405 · on the registry since 2022 · sole proprietor

Practice

Address
2541 Olinville Ave Apt 4b
Bronx, NY 10467
Phone
(347) 318-7140

Additional practice sites

  • 1178 Broadway Fl 3, New York, NY

Registry record

Primary taxonomy
106H00000X
106H00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-12-30

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