Individual
CHARISMA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1515 ROUTE 22 W STE 1038, WATCHUNG, NJ 07069-6509
(908) 731-0886
Mailing address
1515 ROUTE 22 W STE 1038, WATCHUNG, NJ 07069-6509
(908) 731-0886
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC06077800
NJ
Other
Enumeration date
04/14/2021
Last updated
05/02/2022
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