Jackson Psychological, Pllc | |
29 W Fulton St Ste D Gloversville NY 12078-2937 | |
(518) 313-6105 | |
(518) 205-7520 |
Full Name | Jackson Psychological, Pllc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 29 W Fulton St Ste D, Gloversville, New York |
Authorized Official Name and Position | Melissa Josephine Sheehy Jackson (OWNER) |
Authorized Official Contact | 5183136105 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jackson Psychological, Pllc 29 W Fulton St Ste D Gloversville NY 12078-2937 Ph: (518) 313-6105 | Jackson Psychological, Pllc 29 W Fulton St Ste D Gloversville NY 12078-2937 Ph: (518) 313-6105 |
NPI Number | 1043072622 |
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Provider Enumeration Date | 01/29/2024 |
Last Update Date | 01/29/2024 |
Certification Date | 01/29/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043072622 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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The Family Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11-21 Broadway St, Gloversville, NY 12078 Phone: 518-725-4310 | |
The Family Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11-21 Broadway St, Gloversville, NY 12078 Phone: 518-725-4310 | |
The Family Counseling Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11-21 Broadway St, Gloversville, NY 12078 Phone: 518-725-4310 |