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

Dr. Colleen M Jackson, EDD

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1043002553

Dr. Colleen M Jackson, EDD is an Addiction (Substance Use Disorder) Counselor in Syracuse, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2025
Specialties on file
2
What do these letters mean?
EDD — Doctor of Education
A doctorate in education.

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Practice location Address checks out

153 Woodbury Ave
Syracuse, NY 13206-1935
Phone: (315) 254-4884
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 960 Salt Springs Rd, Syracuse, NY 13224-1696 — (315) 446-6250

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 199332 (NY)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CASAC-38078 (NY)

Record details

NPI number1043002553
Entity typeIndividual (Type 1)
GenderFemale
Credentials EDD
Sole proprietorYes
NPI enumeratedMay 20, 2025
Last updated in NPPESMay 20, 2025
Certification dateMay 20, 2025

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