ROSEANNE JOHNSON JACKSON

BUFFALO, NY
NPI1700116993
Former NameROSEANNE LEE JOHNSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NY  083560-1)
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2010-01-11
Last Update Date2016-10-17
Business Address
Ms. ROSEANNE JOHNSON JACKSON
2128 ELMWOOD AVE
BUFFALO, NY 14207-1910
Phone number: 716-874-4500
Mailing Address
Ms. ROSEANNE JOHNSON JACKSON
2128 ELMWOOD AVE
BUFFALO, NY 14207-1910
Phone number: 716-874-4500