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1861112336
DR ULYSSES JACKSON LICENSED MENTAL HEALTH COUNSELING PLLC
DEER PARK, NY
NPI
1861112336
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Entity Type
Organization
Authorized Contact
ULYSSES JACKSON
Owner
631-767-9294
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-09-02
Last Update Date
2022-09-02
Business Address
DR ULYSSES JACKSON LICENSED MENTAL HEALTH COUNSELING PLLC
89 WASHINGTON AVE
DEER PARK, NY 11729-6917
Phone number: 631-767-9294
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Mailing Address
DR ULYSSES JACKSON LICENSED MENTAL HEALTH COUNSELING PLLC
89 WASHINGTON AVE
DEER PARK, NY 11729-6917
Phone number: 631-767-9294
Copy
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