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:
Health care specialties
| Specialty | Code | License # | 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.
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