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

Mr. Timothy William Jackson, MA, CASAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1538485396

Mr. Timothy William Jackson, MA, CASAC is an Addiction (Substance Use Disorder) Counselor in Bath, New York. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

115 Liberty St
Bath, NY 14810-1508
Phone: (607) 664-2152
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1538485396
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , CASAC
Sole proprietorNo
NPI enumeratedApril 19, 2010
Last updated in NPPESMarch 16, 2016

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