National Provider Identifier
Stephanie Jackman, LMSW
Stephanie Jackman, LMSW is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Rochester, NY and a listed phone number of (585) 802-7004.
Profile Overview
- NPI
- 1679721468
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- September 04, 2008
- Last Updated
- October 28, 2011
Practice Location
- 360 Wellington Ave
- Rochester, NY 14619-1210
Phone: (585) 802-7004
Mailing Address
- 18 Debbie Ln
- Brockport, NY 14420-9400
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1679721468
- Entity Type
- Individual
- Last Name
- Jackman
- First Name
- Stephanie
- Credential
- LMSW
- Mailing Street Address
- 18 Debbie Ln
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-9400
- Mailing Country
- US
- Mailing Phone
- (585) 802-7004
- Practice Street Address
- 360 Wellington Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14619-1210
- Practice Country
- US
- Practice Phone
- (585) 802-7004
- Enumeration Date
- September 04, 2008
- Last Updated
- October 28, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)