Justin A Jackson
Justin A Jackson is a Peer Specialist in Schenectady, New York. Licensed in New York. Registered with an NPI since 2024.
- Licensed in
- NY
- In the registry since
- 2024
Practice location Address checks out
600 Franklin St Ste 204Schenectady, NY 12305-2107
Phone: (518) 372-7031
Fax: (518) 372-7064
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence 7214-P (NY) |
|---|
Record details
| NPI number | 1962246629 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 19, 2024 |
| Last updated in NPPES | March 24, 2025 |
| Certification date | March 24, 2025 |
| Mailing address | 70 Union Ave, Schenectady, NY 12308-2430 |
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Ebony Deravariere
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