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1740766880
HILLARY JACKSON
CARMEL, NY
NPI
1740766880
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 33443)
Enumeration Date
2018-07-12
Last Update Date
2018-07-12
Business Address
HILLARY JACKSON CASAC-T
21 OLD ROUTE 6
CARMEL, NY 10512-2107
Phone number: 845-225-5202
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Mailing Address
HILLARY JACKSON CASAC-T
79 GLENRIDGE RD
GLENVILLE, NY 12302-4523
Phone number: 518-952-8408
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