Green-Jackson, Melissa

Green-Jackson, Melissa is an individual health care provider with primary practice located at 317 Godwin Ave , Midland Park NJ 07432-1519. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Green-Jackson, Melissa can be contacted via phone (201) 241-2422.

Contact Information

Primary practice address
317 Godwin Ave Midland Park NJ 07432-1519
Phone: (201) 241-2422
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC00400000 New Jersey

Profile Details

NPI number 1013563576
LBN Legal business name Green-Jackson, Melissa
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2019
Last updated Aug 12th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers