National Provider Identifier
Kristin Jackson
Kristin Jackson is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Dunkirk, NY and a listed phone number of (716) 366-7660.
Profile Overview
- NPI
- 1972204022
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- March 15, 2023
- Last Updated
- March 15, 2023
Practice Location
- 186 Lake Shore Dr W
- Dunkirk, NY 14048-1437
Phone: (716) 366-7660
Mailing Address
- 14 Winding Way
- Lakewood, NY 14750-9632
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1972204022
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Kristin
- Mailing Street Address
- 14 Winding Way
- Mailing City
- Lakewood
- Mailing State
- NY
- Mailing ZIP Code
- 14750-9632
- Mailing Country
- US
- Mailing Phone
- (585) 610-2469
- Practice Street Address
- 186 Lake Shore Dr W
- Practice City
- Dunkirk
- Practice State
- NY
- Practice ZIP Code
- 14048-1437
- Practice Country
- US
- Practice Phone
- (716) 366-7660
- Enumeration Date
- March 15, 2023
- Last Updated
- March 15, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 15, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)