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.

NPI 1669703450Rochester, NYAddiction (Substance Use Disorder) Counselor

Source: public NPPES record, last updated September 16, 2011. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

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)

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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
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)