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

Cheyenne L Jackson I

Individual provider Mental Health Counselor · NPI 1801404959

Cheyenne L Jackson I is a Mental Health Counselor in Freeville, New York. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
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Practice location Address checks out

380 Freeville Rd
Freeville, NY 13068-9684
Phone: (607) 844-6483
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Counselor (primary) Taxonomy 101YS0200X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1801404959
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 15, 2020
Last updated in NPPESJune 1, 2021
Certification dateJune 1, 2021

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