Ms. Nicole M Jackson, MA, LPC, LCADC
Counselor, Professional in West Long Branch, New Jersey
1205017803- Practice location
- 232 Norwood Ave, Suite 5, West Long Branch, NJ 07764-1859
- Phone
- 732-948-2132
- Fax
- —
- Last updated
- September 29, 2008
Nicole M. Jackson is a Counselor, Professional based in West Long Branch, NJ. Nicole M. Jackson practices in West Long Branch, NJ and has the professional credentials of MA, LPC, LCADC. The NPI Number for Nicole M. Jackson is 1205017803 and holds a License No. 37pc00345200 (NJ). The current practice location address for Nicole M. Jackson is 232 Norwood Ave, Suite 5, West Long Branch, NJ 07764-1859 and can be reached out via phone at 732-948-2132.
Provider Profile Details
- NPI Number
- 1205017803
- Provider Name
- Nicole M. Jackson
- Credential
- MA, LPC, LCADC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 232 Norwood Ave, Suite 5, West Long Branch, NJ 07764-1859
- Phone Number
- 732-948-2132
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 25, 2007
- Last Update Date
- September 29, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 232 Norwood Ave
Suite 5
West Long Branch, NJ 07764-1859 - City
- West Long Branch
- State
- New Jersey
- Zip
- 07764-1859
- Phone Number
- 732-948-2132
Provider Business Mailing Address Details
- Address
- 232 Norwood Ave
Suite 5
West Long Branch, NJ 07764-1859 - City
- West Long Branch
- State
- NJ
- Zip
- 07764-1859
- Phone Number
- 732-948-2132
License Information
- License Number (1)
- 37pc00345200
- License State (1)
- NJ
- Taxonomy (1)
- Counselor · 101Y00000X
- License Number (2)
- 37lc00119500
- License State (2)
- NJ
- Taxonomy (2)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- License Number (3)
- 37pc00345200
- License State (3)
- NJ
- Taxonomy (3)
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Professional providers near West Long Branch, NJ
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Frequently Asked Questions
What is the NPI number of Ms. Nicole M Jackson, MA, LPC, LCADC?
The NPI number of Ms. Nicole M Jackson, MA, LPC, LCADC is 1205017803. It was assigned on November 25, 2007 and is currently active in the NPPES registry.
What is the specialty of Ms. Nicole M Jackson, MA, LPC, LCADC?
Ms. Nicole M Jackson, MA, LPC, LCADC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 37pc00345200.
Where does Ms. Nicole M Jackson, MA, LPC, LCADC practice?
The practice location is 232 Norwood Ave, Suite 5, West Long Branch, NJ 07764-1859. The office can be reached at 732-948-2132 (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 1205017803 directly on the NPPES registry website.