National Provider Identifier
Bridgett Jackson
Bridgett Jackson is listed in the NPPES registry with a primary specialty of Marriage & Family Therapist in Newark, NY and a listed phone number of (315) 670-7138.
Profile Overview
- NPI
- 1568331502
- Provider Type
- Individual
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- October 29, 2025
- Last Updated
- October 29, 2025
Practice Location
- 106 High St
- Newark, NY 14513-1471
Phone: (315) 670-7138
Mailing Address
- 39 Belden Ave
- Sodus, NY 14551-1024
Specialties
- Marriage & Family Therapist (106H00000X)
Full Record
- NPI
- 1568331502
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Bridgett
- Mailing Street Address
- 39 Belden Ave
- Mailing City
- Sodus
- Mailing State
- NY
- Mailing ZIP Code
- 14551-1024
- Mailing Country
- US
- Practice Street Address
- 106 High St
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513-1471
- Practice Country
- US
- Practice Phone
- (315) 670-7138
- Enumeration Date
- October 29, 2025
- Last Updated
- October 29, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- October 29, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Marriage & Family Therapist (106H00000X)