Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Avery Bliss Jackson

Individual provider Counselor · NPI 1104505213

Avery Bliss Jackson is a Counselor in Allston, Massachusetts. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

14 Fordham Rd
Allston, MA 02134-3000
Phone: (617) 782-6460
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1104505213
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 17, 2023
Last updated in NPPESJuly 17, 2023
Certification dateJuly 15, 2023
Mailing address311 Lower Flying Point Rd, Freeport, ME 04032-6384

Other providers in Allston