Individual
TASHA ROSE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 MARKET ST, CAMDEN, NJ 08102-1526
(856) 541-1700
Mailing address
18 IPSWICH PL, SEWELL, NJ 08080-2316
(856) 357-4148
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/10/2008
Last updated
07/24/2025
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