Samyiah Destiny Jackson Valid NPI

Individual provider · Counselor · Bridgeport, CT

NPI

1497683957

Type

Individual (Type 1)

Primary specialty

Counselor

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101Y00000X

Sex

Female

Sole proprietor

No

Enumerated

2026-05-13

Last updated

2026-05-13