National Provider Identifier
Elena Jackson, MHC-P
Elena Jackson, MHC-P is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Rochester, NY and a listed phone number of (585) 371-6464.
Profile Overview
- NPI
- 1750093969
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- December 19, 2022
- Last Updated
- December 19, 2022
Practice Location
- 1081 Long Pond RD Ste 100
- Rochester, NY 14626-5002
Phone: (585) 371-6464
Mailing Address
- 1343 Long Pond RD
- Rochester, NY 14626-2913
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1750093969
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Elena
- Credential
- MHC-P
- Mailing Street Address
- 1343 Long Pond RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-2913
- Mailing Country
- US
- Mailing Phone
- (585) 371-6464
- Practice Street Address
- 1081 Long Pond RD Ste 100
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-5002
- Practice Country
- US
- Practice Phone
- (585) 371-6464
- Enumeration Date
- December 19, 2022
- Last Updated
- December 19, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 19, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)
- Other Identifiers
- 18-P118924-01 (NY, Permit)