Mr Edward Jackson Jr, LMFT is a
Marriage & Family Therapist based in Tonawanda, New York. Mr Edward Jackson Jr is licensed to practice in New York (license number 001679) and his current practice location is
1868 Niagara Falls Blvd Ste 103, Tonawanda, New York. He can be reached at his office (for appointments etc.) via phone at
(716) 201-0522.
NPI number for Mr Edward Jackson Jr is 1649879743 and his current mailing address is 1868 Niagara Falls Blvd Ste 103, Tonawanda, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649879743.
Healthcare Provider's Profile
Full Name | Mr Edward Jackson Jr |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 1868 Niagara Falls Blvd Ste 103, Tonawanda, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1649879743
- Provider Enumeration Date: 10/20/2020
- Last Update Date: 09/11/2023
Medical Identifiers
Medical identifiers for Mr Edward Jackson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649879743 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 001679 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Edward Jackson Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Edward Jackson Jr, LMFT 1868 Niagara Falls Blvd Ste 103, Tonawanda, NY 14150-6494 Ph: (716) 201-0522 | Mr Edward Jackson Jr, LMFT 1868 Niagara Falls Blvd Ste 103, Tonawanda, NY 14150-6494 Ph: (716) 201-0522 |
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