Ulysses Jackson
Ulysses Jackson is an Addiction (Substance Use Disorder) Counselor in Deer Park, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2014
Practice location Address checks out
89 Washington AveDeer Park, NY 11729-6917
Phone: (631) 767-9294
Fax: (631) 767-9294
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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 · Licence 24980 (NY) |
|---|
Record details
| NPI number | 1376962647 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 15, 2014 |
| Last updated in NPPES | November 10, 2025 |
| Certification date | November 10, 2025 |
| Mailing address | 89 Washington Ave, Deer Park, NY 11729-6917 |
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