Anna Marie Jackson, LPC
NPI #1104370527 in Montclair, New Jersey
Provider Information
- NPI Number
- 1104370527
- Entity Type
- Individual
- Name
- Anna Marie Jackson, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Aug 15, 2016
- Last Updated
- Sep 30, 2021
Practice Location
- Address
- 96 PARK ST
- City
- Montclair
- State
- New Jersey
- ZIP Code
- 07042-2929
- Phone
- (973) 868-8729
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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