MS. Nicole M. Jackson, MA, LPC, LCADC
NPI #1205017803 in West Long Branch, New Jersey
Provider Information
- NPI Number
- 1205017803
- Entity Type
- Individual
- Name
- MS. Nicole M. Jackson, MA, LPC, LCADC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- MA, LPC, LCADC
- Enumeration Date
- Nov 25, 2007
- Last Updated
- Sep 29, 2008
Practice Location
- Address
- 232 NORWOOD AVE
- Address 2
- SUITE 5
- City
- West Long Branch
- State
- New Jersey
- ZIP Code
- 07764-1859
- Phone
- (732) 948-2132
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Professional — Professional |
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