MS. Jacqueline Ann Tillson, LPC, LCADC, NCC
NPI #1992094890 in Budd Lake, New Jersey
Provider Information
- NPI Number
- 1992094890
- Entity Type
- Individual
- Name
- MS. Jacqueline Ann Tillson, LPC, LCADC, NCC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LPC, LCADC, NCC
- Enumeration Date
- Mar 31, 2011
- Last Updated
- Mar 31, 2011
Practice Location
- Address
- 1 OLD WOLFE RD
- Address 2
- SUITE 203
- City
- Budd Lake
- State
- New Jersey
- ZIP Code
- 07828-3213
- Phone
- (862) 432-9783
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Professional — Professional |
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