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Ms. Nicole M. Jackson, MA,LPC,LCADC
Professional Counselor in West Long Branch, New Jersey
NPI 1205017803

Nicole M. Jackson is a Professional Counselor based in West Long Branch, NJ and is specialized in Professional. 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 (New Jersey).

The current practice location address for Nicole M. Jackson is 232 Norwood Ave, West Long Branch, NJ and can be reached out via phone at 732-948-2132.

Location: 232 Norwood Ave, West Long Branch, NJ, 07764-1859
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
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, West Long Branch, NJ, 07764-1859
Phone Number
732-948-2132
Fax Number
Provider Enumeration Date
11/25/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
232 Norwood Ave
City
West Long Branch
State
New Jersey
Zip
07764-1859
Phone Number
732-948-2132
Fax Number
person
Provider Business Mailing Address Details
Address
232 Norwood Ave
City
West Long Branch
State
New Jersey
Zip
07764-1859
Phone Number
732-948-2132
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
37PC00345200 (New Jersey)
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
37LC00119500 (New Jersey)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
37PC00345200 (New Jersey)
Definition
Definition to come...
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