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1750093969
ELENA JACKSON
ROCHESTER, NY
NPI
1750093969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 18-P118924-01)
Enumeration Date
2022-12-19
Last Update Date
2022-12-19
Business Address
ELENA JACKSON MHC-P
1081 LONG POND RD STE 100
ROCHESTER, NY 14626-5002
Phone number: 585-371-6464
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Mailing Address
ELENA JACKSON MHC-P
1343 LONG POND RD
ROCHESTER, NY 14626-2913
Phone number: 585-371-6464
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