SHYNNA JACKSON
NPI 1932534344
Counselor in Roxbury, MA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

Active since September 05, 2013

520 DUDLEY ST, ROXBURY, MA 02119(617) 445-6655(617) 989-9499 Get Directions Write a Review

NPPES record last updated: September 5, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Shynna Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHYNNA JACKSON (NPI 1932534344) is an individual counselor in Roxbury, Massachusetts and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1932534344

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameSHYNNA JACKSON

Location Address520 DUDLEY STRoxbury, MA 02119-2769

Mailing Address520 Dudley StreetBoston, MA 02119-0000 · (617) 445-6655 · Fax (617) 989-9499

Phone(617) 445-6655

Fax(617) 989-9499

Sole ProprietorNo

Enumeration DateSeptember 5, 2013

✔ NPI 1932534344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

520 DUDLEY ST, Roxbury, MA 02119

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