Individual
JILL MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LCADC
Contact information
Practice address
4 PRINCESS RD STE 206, LAWRENCE TOWNSHIP, NJ 08648-2322
(609) 482-3701
Mailing address
64 THERESA ST, EWING, NJ 08618-1531
(201) 696-1541
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00208100
NJ
101YP2500X
Professional Counselor
Primary
37PC00477700
NJ
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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