CATHLEEN JACKSON CASACICADC NPI 1669703450

NPI Information

NPI: 1669703450
Provider Name: CATHLEEN JACKSON, CASAC,ICADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
490 E RIDGE RD
ROCHESTER, NY
ZIP 14621
Phone: (585) 922-2588
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Cathleen Jackson, CASAC,ICADC is an addiction (substance use disorder) counselor in Rochester, NY. Cathleen Jackson, CASAC,ICADC NPI is 1669703450. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

490 E RIDGE RD
ROCHESTER, NY
ZIP 14621-229
Phone: (585) 922-2588

The enumeration date for this NPI number is 1/19/2010 and was last updated on 9/16/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	16639	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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