Elyce Jackson
Counselor, Mental Health in Eatontown, New Jersey
1942708268- Practice location
- 10 Industrial Way, Eatontown, NJ 07724
- Phone
- 732-673-3183
- Fax
- —
- Last updated
- March 10, 2020
Elyce Jackson is a Counselor, Mental Health based in Eatontown, NJ. Elyce Jackson practices in Eatontown, NJ. The NPI Number for Elyce Jackson is 1942708268 and holds a License No. 37AC00303100 (NJ). The current practice location address for Elyce Jackson is 10 Industrial Way, Eatontown, NJ 07724 and can be reached out via phone at 732-673-3183.
Provider Profile Details
- NPI Number
- 1942708268
- Provider Name
- Elyce Jackson
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 10 Industrial Way, Eatontown, NJ 07724
- Phone Number
- 732-673-3183
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 1, 2018
- Last Update Date
- March 10, 2020
- Certification Date
- March 10, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10 Industrial Way
Eatontown, NJ 07724 - City
- Eatontown
- State
- New Jersey
- Zip
- 07724
- Phone Number
- 732-673-3183
Provider Business Mailing Address Details
- Address
- 175 E Hawthorn Pkwy Ste 235
Vernon Hills, IL 60061-1454 - City
- Vernon Hills
- State
- IL
- Zip
- 60061-1454
- Phone Number
- 847-868-3435
- Fax Number
- 847-859-5885
License Information
- License Number
- 37AC00303100
- License State
- NJ
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
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 Eatontown, NJ
View all Counselor, Mental Health providers in Eatontown →- Alisa PallittoCounselor, Mental Health · NPI 1962330886
- Amanda L Brower, LACCounselor, Mental Health · NPI 1831936764
- Ariel BarterCounselor, Mental Health · NPI 1194606459
- Basirah C Byrd, LACCounselor, Mental Health · NPI 1366151748
- Brett Benedetti, LACCounselor, Mental Health · NPI 1598606634
- Brian FredaCounselor, Mental Health · NPI 1144044298
Frequently Asked Questions
What is the NPI number of Elyce Jackson?
The NPI number of Elyce Jackson is 1942708268. It was assigned on February 1, 2018 and is currently active in the NPPES registry.
What is the specialty of Elyce Jackson?
Elyce Jackson is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00303100.
Where does Elyce Jackson practice?
The practice location is 10 Industrial Way, Eatontown, NJ 07724. The office can be reached at 732-673-3183 (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 1942708268 directly on the NPPES registry website.