National Provider Identifier

Roseanne Johnson Jackson

Roseanne Johnson Jackson is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Buffalo, NY and a listed phone number of (716) 874-4500.

NPI 1700116993Buffalo, NYMental Health Counselor

Source: public NPPES record, last updated October 17, 2016. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI: 1700116993
Provider Type: Individual
Primary Specialty: Mental Health Counselor
Enumeration Date: January 11, 2010
Last Updated: October 17, 2016

Practice Location

2128 Elmwood Ave
Buffalo, NY 14207-1910

Phone: (716) 874-4500

Specialties

Mental Health Counselor (101YM0800X)

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Biography

Roseanne Johnson Jackson is a Buffalo-based mental health counselor listed with a New York LMHC license in the federal provider registry. Public records also connect her current professional name with the former name Roseanne Lee Johnson, a useful identifier for older references to her work.

Full Record

NPI: 1700116993
Entity Type: Individual
Last Name: Jackson
First Name: Roseanne
Middle Name: Johnson
Name Prefix: MS.
Provider Other Last Name: Johnson
Provider Other First Name: Roseanne
Provider Other Middle Name: Lee
Provider Other Name Prefix Text: MS.
Provider Other Last Name Type Code: 1
Mailing Street Address: 2128 Elmwood Ave
Mailing City: Buffalo
Mailing State: NY
Mailing ZIP Code: 14207-1910
Mailing Country: US
Mailing Phone: (716) 874-4500
Practice Street Address: 2128 Elmwood Ave
Practice City: Buffalo
Practice State: NY
Practice ZIP Code: 14207-1910
Practice Country: US
Practice Phone: (716) 874-4500
Enumeration Date: January 11, 2010
Last Updated: October 17, 2016
Sex: Female
Sole Proprietor: No
Taxonomies: Mental Health Counselor (101YM0800X)