Jackson, Justin Albert

Jackson, Justin Albert is an individual health care provider with primary practice located at 393 Main St , Paterson NJ 07501-2815. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Jackson, Justin Albert can be contacted via phone (973) 523-6220.

Contact Information

Primary practice address
393 Main St Paterson NJ 07501-2815
Phone: (973) 523-6220
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CPRS-50177 New Jersey

Profile Details

NPI number 1639812282
LBN Legal business name Jackson, Justin Albert
Credentials CPRS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2022
Last updated Apr 20th, 2022 - about 2 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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