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Mary Jackson
Counselor in Clark, New Jersey
NPI 1093121477

Mary Jackson is a Counselor based in Clark, NJ. Mary Jackson practices in Clark, NJ. The NPI Number for Mary Jackson is 1093121477 and holds a License No. (New Jersey).

The current practice location address for Mary Jackson is 15 Brant Ave, Clark, NJ and can be reached out via phone at 908-922-3309. You can also correspond with Mary Jackson through the mailing address at 15 BRANT AVE, CLARK, NJ - 07066-1564 (mailing address contact number: 908-922-3309).

Location: 15 Brant Ave, Clark, NJ, 07066-1564
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093121477
Provider Name
Mary Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
15 Brant Ave, Clark, NJ, 07066-1564
Phone Number
908-922-3309
Fax Number
Provider Enumeration Date
07/07/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15 Brant Ave
City
Clark
State
New Jersey
Zip
07066-1564
Phone Number
908-922-3309
Fax Number
person
Provider Business Mailing Address Details
Address
15 Brant Ave
City
Clark
State
New Jersey
Zip
07066-1564
Phone Number
908-922-3309
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
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.
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