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COLLEEN JACKSON, EDD

EDD

Licensed Practical Nurse

NPI: 1043002553Individual

Specialties, Licenses & Credentials

Counselor — Addiction (Substance Use Disorder)

Code: 101YA0400X

CASAC-38078(NY)

Licensed Practical Nurse

Code: 164W00000X

199332(NY)
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Contact & Hours

Address
153 WOODBURY AVE
SYRACUSE, NY 13206

Quick Facts

NPI
1043002553
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
2
Locations
2

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