PORSHA CAROLYN JACKSON

FAR ROCKAWAY, NY
NPI1932567310
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-02-01
Last Update Date2016-02-01
Business Address
-- PORSHA CAROLYN JACKSON
1847 MOTT AVE
FAR ROCKAWAY, NY 11691-4201
Phone number: 718-334-6850
Mailing Address
-- PORSHA CAROLYN JACKSON
443 BEACH 63RD ST
ARVERNE, NY 11692-1420
Phone number: 347-782-9920
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