BENJAMIN JACKSON

NEW YORK, NY
NPI1255769287
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NY  0038997-1)
Enumeration Date2013-10-30
Last Update Date2013-10-30
Business Address
-- BENJAMIN JACKSON
330 W 28TH ST 4J
NEW YORK, NY 10001-4722
Phone number: 917-514-7478
Mailing Address
-- BENJAMIN JACKSON
330 W 28TH ST 4J
NEW YORK, NY 10001-4722
Phone number: 917-514-7478
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