CATHLEEN JACKSON

ROCHESTER, NY
NPI1669703450
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  16639)
Enumeration Date2010-01-19
Last Update Date2011-09-16
Business Address
-- CATHLEEN JACKSON CASAC,ICADC
490 E RIDGE RD
ROCHESTER, NY 14621-1229
Phone number: 585-922-2588
Mailing Address
-- CATHLEEN JACKSON CASAC,ICADC
4557 LINCOLN RD
MACEDON, NY 14502-9314
Phone number: