TIMOTHY WILLIAM JACKSON

BATH, NY
NPI1538485396
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2010-04-19
Last Update Date2016-03-16
Business Address
MR. TIMOTHY WILLIAM JACKSON M.A., CASAC
115 LIBERTY ST
BATH, NY 14810-1508
Phone number: 607-664-2152
Mailing Address
MR. TIMOTHY WILLIAM JACKSON M.A., CASAC
115 LIBERTY ST
BATH, NY 14810-1508
Phone number:
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