Individual
MS. NICOLE M. JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, LCADC
Contact information
Practice address
232 NORWOOD AVE, SUITE 5, WEST LONG BRANCH, NJ 07764-1859
(732) 948-2132
Mailing address
232 NORWOOD AVE, SUITE 5, WEST LONG BRANCH, NJ 07764-1859
(732) 948-2132
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
37PC00345200
NJ
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00119500
NJ
101YP2500X
Professional Counselor
Primary
37PC00345200
NJ
Other
Enumeration date
11/25/2007
Last updated
09/29/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us