Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JACQUELINE ANN TILLSON, LPC, LCADC, NCC
Active Sole ProprietorMS. JACQUELINE ANN TILLSON, LPC, LCADC, NCC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in BUDD LAKE, New Jersey. NPI 1992094890 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · BUDD LAKE, NJ
Registration Details
- NPI Number
- 1992094890
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 31, 2011 (15.418130306985 yrs)
- Last Updated
- Mar 31, 2011
- Licenses
-
37LC00106500 (NJ)37PC00375000 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1 OLD WOLFE RDSUITE 203BUDD LAKE, NJ, 078283213Browse NJ providers · Browse ZIP 07828
- Phone
- 8624329783
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Professional Counselor
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.