Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jackson Williams, CASAC-T

Individual provider Counselor · NPI 1770638462

Mr. Jackson Williams, CASAC-T is a Counselor in New York, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
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Practice location Address checks out

2009 3rd Ave
New York, NY 10029-3208
Phone: (121) 234-8466
Fax: (212) 348-5427
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X (NY)

Record details

NPI number1770638462
Entity typeIndividual (Type 1)
GenderMale
Credentials CASAC-T
Sole proprietorNo
NPI enumeratedJanuary 24, 2007
Last updated in NPPESJuly 8, 2007

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