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

Troy Jackson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1699564203

Troy Jackson is an Addiction (Substance Use Disorder) Counselor in Farmingville, New York. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

100 Granny Rd
Farmingville, NY 11738-2879
Phone: (631) 696-4357
Show map & directions

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 number1699564203
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedMay 1, 2025
Last updated in NPPESMay 1, 2025
Certification dateMay 1, 2025
Mailing address1377 Motor Pkwy Ste 102, Islandia, NY 11749-5249

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