Jackson, Nicole M.

Jackson, Nicole M. is an sole proprietor health care provider with primary practice located at 232 Norwood Ave Suite 5, West Long Branch NJ 07764-1859. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Jackson, Nicole M. can be contacted via phone (732) 948-2132.

Contact Information

Primary practice address
232 Norwood Ave Suite 5 West Long Branch NJ 07764-1859
Phone: (732) 948-2132
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 37PC00345200 New Jersey
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00119500 New Jersey
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC00345200 New Jersey

Profile Details

NPI number 1205017803
LBN Legal business name Jackson, Nicole M.
Credentials MA, LPC, LCADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 25th, 2007
Last updated Sep 29th, 2008 - about 16 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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