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Elyce Jackson
Mental Health Counselor in Eatontown, New Jersey
NPI 1942708268

Elyce Jackson is a Mental Health Counselor based in Vernon Hills, NJ and is specialized in Mental Health. Elyce Jackson practices in Eatontown, NJ. The NPI Number for Elyce Jackson is 1942708268 and holds a License No. 37AC00303100 (New Jersey).

The current practice location address for Elyce Jackson is 10 Industrial Way, Eatontown, NJ and can be reached out via phone at 732-673-3183.

Location: 10 Industrial Way, Eatontown, NJ, 60061-1454
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942708268
Provider Name
Elyce Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
10 Industrial Way, Eatontown, NJ, 60061-1454
Phone Number
732-673-3183
Fax Number
Provider Enumeration Date
02/01/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10 Industrial Way
City
Eatontown
State
New Jersey
Zip
07724
Phone Number
732-673-3183
Fax Number
person
Provider Business Mailing Address Details
Address
10 Industrial Way
City
Eatontown
State
New Jersey
Zip
07724
Phone Number
732-673-3183
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
37AC00303100 (New Jersey)
Definition
Definition to come...
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