Anna M Jackson, LPC
Counselor, Professional in Montclair, New Jersey
1104370527- Practice location
- 96 Park St, Montclair, NJ 07042-2929
- Phone
- 973-868-8729
- Fax
- —
- Last updated
- September 30, 2021
Anna Marie Jackson is a Counselor, Professional based in Montclair, NJ. Anna Marie Jackson practices in Montclair, NJ and has the professional credentials of LPC. The NPI Number for Anna Marie Jackson is 1104370527 and holds a License No. 37AC00294500 (NJ). The current practice location address for Anna Marie Jackson is 96 Park St, Montclair, NJ 07042-2929 and can be reached out via phone at 973-868-8729.
Provider Profile Details
- NPI Number
- 1104370527
- Provider Name
- Anna Marie Jackson
- Credential
- LPC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 96 Park St, Montclair, NJ 07042-2929
- Phone Number
- 973-868-8729
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 15, 2016
- Last Update Date
- September 30, 2021
- Certification Date
- September 30, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 96 Park St
Montclair, NJ 07042-2929 - City
- Montclair
- State
- New Jersey
- Zip
- 07042-2929
- Phone Number
- 973-868-8729
Provider Business Mailing Address Details
- Address
- 5 Macopin Ave
Montclair, NJ 07043-2001 - City
- Montclair
- State
- NJ
- Zip
- 07043-2001
- Phone Number
- 207-281-2037
License Information
- License Number (1)
- 37AC00294500
- License State (1)
- NJ
- Taxonomy (1)
- Counselor, Professional · 101YP2500X
- License Number (2)
- 37PC00689300
- License State (2)
- NJ
- Taxonomy (2)
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Anna M Jackson, LPC?
The NPI number of Anna M Jackson, LPC is 1104370527. It was assigned on August 15, 2016 and is currently active in the NPPES registry.
What is the specialty of Anna M Jackson, LPC?
Anna M Jackson, LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 37AC00294500.
Where does Anna M Jackson, LPC practice?
The practice location is 96 Park St, Montclair, NJ 07042-2929. The office can be reached at 973-868-8729 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104370527 directly on the NPPES registry website.