Shauntay Jackson, | |
1 Chestnut St Fl 2, Cold Spring, NY 10516-2516 | |
(845) 335-5615 | |
Not Available |
Full Name | Shauntay Jackson |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 1 Chestnut St Fl 2, Cold Spring, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902549405 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | P113004 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Shauntay Jackson, 2541 Olinville Ave Apt 4b, Bronx, NY 10467-7491 Ph: (347) 318-7140 | Shauntay Jackson, 1 Chestnut St Fl 2, Cold Spring, NY 10516-2516 Ph: (845) 335-5615 |
Andrea Birch, MFT-LP Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1 Chestnut St Fl 2, Cold Spring, NY 10516 Phone: 845-335-5615 Fax: 845-335-5616 | |
Mallory Fariello, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1 Chestnut St Fl 2, Cold Spring, NY 10516 Phone: 845-335-5615 |