Individual
GINGER JONES JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
162 S CLINTON ST, EAST ORANGE, NJ 07018-3040
(973) 943-8417
Mailing address
190 KNOLLWOOD DR, EASTON, PA 18042-7116
(973) 943-8417
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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