National Provider Identifier
Kayla M Jackson, LCAT, NCC
Kayla M Jackson, LCAT, NCC is listed in the NPPES registry with a primary specialty of Art Therapist in Rochester, NY and a listed phone number of (585) 730-4828.
Source: public NPPES record, last updated February 27, 2018. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1548761265
- Provider Type
- Individual
- Primary Specialty
- Art Therapist
- Enumeration Date
- February 27, 2018
- Last Updated
- February 27, 2018
Practice Location
- 46 Prince St
- Rochester, NY 14607-1023
Phone: (585) 730-4828
Mailing Address
- 350 Westminster RD
- Rochester, NY 14607-3233
Specialties
- Art Therapist (221700000X)
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Full Record
- NPI
- 1548761265
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Kayla
- Middle Name
- M
- Credential
- LCAT, NCC
- Mailing Street Address
- 350 Westminster RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14607-3233
- Mailing Country
- US
- Mailing Phone
- (917) 843-6105
- Practice Street Address
- 46 Prince St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14607-1023
- Practice Country
- US
- Practice Phone
- (585) 730-4828
- Enumeration Date
- February 27, 2018
- Last Updated
- February 27, 2018
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Art Therapist (221700000X)