Miss. Nicole Jackson
Miss. Nicole Jackson is a Substance Use Disorder Rehabilitation Clinic/Center in Smithtown, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2015
Practice location Address checks out
11 Route 111Smithtown, NY 11787-3753
Phone: (631) 920-8300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Use Disorder Rehabilitation Clinic/Center (primary) | Taxonomy 261QR0405X · Licence 089076 (NY) |
|---|
Record details
| NPI number | 1972977825 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 16, 2015 |
| Last updated in NPPES | November 16, 2015 |
| Mailing address | 11 Route 111, Smithtown, NY 11787-3753 |
Other providers in Smithtown
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Employee Assistance Resource Services
278 E Main St, Smithtown, NY 11787-2920 · (631) 361-6960
-
The Pederson Krag Center
11 Route 111, Smithtown, NY 11787-3739 · (631) 920-8300