Individual
ASHLEY STARR JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 STATE ROUTE 35, CLIFFWOOD, NJ 07721-1512
(732) 812-5489
(732) 566-1937
Mailing address
275 LAURENCE PKWY # B, LAURENCE HARBOR, NJ 08879-2766
(908) 451-4120
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
261QM2800X
Methadone Clinic
—
—
Other
Enumeration date
06/28/2023
Last updated
06/29/2023
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