NADINE YVETTE JACKSON

NEW YORK, NY
NPI1740703560
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  2-11436)
Enumeration Date2017-07-24
Last Update Date2017-07-24
Business Address
NADINE YVETTE JACKSON CASAC
1751 PARK AVE
NEW YORK, NY 10035-2809
Phone number: 212-991-4994
Mailing Address
NADINE YVETTE JACKSON CASAC
141 W 128TH ST APT 7
NEW YORK, NY 10027-3027
Phone number: 646-657-0063
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