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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. NICOLE M. JACKSON, MA, LPC, LCADC

Active Sole Proprietor

MS. NICOLE M. JACKSON, MA, LPC, LCADC is a Professional Counselor healthcare provider located in WEST LONG BRANCH, New Jersey. NPI 1205017803 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · WEST LONG BRANCH, NJ

Registration Details

NPI Number
1205017803
Provider Type
Individual
Gender
Female
NPI Issued
Nov 25, 2007 (18.678156230768 yrs)
Last Updated
Sep 29, 2008
Licenses
37PC00345200 (NJ)
37LC00119500 (NJ)
37PC00345200 (NJ)
Sole Proprietor
Yes

Practice Information

Address
232 NORWOOD AVE
SUITE 5
WEST LONG BRANCH, NJ, 077641859
Browse NJ providers · Browse ZIP 07764
Phone
7329482132
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in WEST LONG BRANCH, NJ

Name Credential NPI
JOANNE JODRY LPC, LCADC 1912196064
MRS. ANASTASIA MATINA MARAVELIAS-KAKOS MA, LPC 1598940587
MISS DANIELLE MONTI PFEIFFER LPC 1457687337
ELIZABETH REMINGTON LAC, MS 1548664733
MICHAEL LEE SACKS LPC 1053869115
LISA MARIE LAGALA NCC, LPC, ACS 1275066466
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.