Individual
MR. DAVID ISAAC JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.ED.
Contact information
Practice address
946 EDGEWOOD AVE, TRENTON, NJ 08618-5304
(609) 393-1626
Mailing address
9216 TAMARRON DR, PLAINSBORO, NJ 08536-4332
(609) 203-8580
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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