Tatyana Jackson's National Provider Identifier (NPI) Details
Tatyana Jackson, LMHC
NPI: 1760941322
Enumeration Date: 2019-03-13
Last updated: 2023-11-29
Sole Proprietor: NO
Status: active
Postal Address: 495 STERLING PL APT 4B, BROOKLYN, NY
Phone: 646-322-0025
Primary Practice Address: 102 PILLING ST, BROOKLYN, NY
Practice's phone: 718-602-1000