National Provider Identifier
Cathleen Jackson, CASAC, ICADC
Cathleen Jackson, CASAC, ICADC is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Rochester, NY and a listed phone number of (585) 922-2588.
Profile Overview
- NPI
- 1669703450
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- January 19, 2010
- Last Updated
- September 16, 2011
Practice Location
- 490 E Ridge RD
- Rochester, NY 14621-1229
Phone: (585) 922-2588
Mailing Address
- 4557 Lincoln RD
- Macedon, NY 14502-9314
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1669703450
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Cathleen
- Credential
- CASAC, ICADC
- Mailing Street Address
- 4557 Lincoln RD
- Mailing City
- Macedon
- Mailing State
- NY
- Mailing ZIP Code
- 14502-9314
- Mailing Country
- US
- Practice Street Address
- 490 E Ridge RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-1229
- Practice Country
- US
- Practice Phone
- (585) 922-2588
- Enumeration Date
- January 19, 2010
- Last Updated
- September 16, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)