Marvina Jackson
Counselor, Mental Health in Willingboro, New Jersey
1356584528- Practice location
- 218A Sunset RD, Willingboro, NJ 08046-1110
- Phone
- 609-835-6180
- Fax
- 609-835-7962
- Last updated
- April 17, 2009
Marvina Jackson is a Counselor, Mental Health based in Willingboro, NJ. Marvina Jackson practices in Willingboro, NJ. The NPI Number for Marvina Jackson is 1356584528 and holds a License No. s4356 (NJ). The current practice location address for Marvina Jackson is 218A Sunset RD, Willingboro, NJ 08046-1110 and can be reached out via phone at 609-835-6180 and via fax at 609-835-7962.
Provider Profile Details
- NPI Number
- 1356584528
- Provider Name
- Marvina Jackson
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 218A Sunset RD, Willingboro, NJ 08046-1110
- Phone Number
- 609-835-6180
- Fax Number
- 609-835-7962
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 17, 2009
- Last Update Date
- April 17, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 218A Sunset RD
Willingboro, NJ 08046-1110 - City
- Willingboro
- State
- New Jersey
- Zip
- 08046-1110
- Phone Number
- 609-835-6180
- Fax Number
- 609-835-7962
Provider Business Mailing Address Details
- Address
- 1289 Route 38
Hainesport, NJ 08036-2730 - City
- Hainesport
- State
- NJ
- Zip
- 08036-2730
- Phone Number
- 609-267-5656
- Fax Number
- 609-267-8892
License Information
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X · Primary
- License Number (2)
- s4356
- License State (2)
- NJ
- Taxonomy (2)
- Specialist · 174400000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Willingboro, NJ
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Frequently Asked Questions
What is the NPI number of Marvina Jackson?
The NPI number of Marvina Jackson is 1356584528. It was assigned on April 17, 2009 and is currently active in the NPPES registry.
What is the specialty of Marvina Jackson?
Marvina Jackson is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number s4356.
Where does Marvina Jackson practice?
The practice location is 218A Sunset RD, Willingboro, NJ 08046-1110. The office can be reached at 609-835-6180 (phone) or 609-835-7962 (fax).
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 1356584528 directly on the NPPES registry website.