Individual
SEAN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
626 E CHANCERY LN, GALLOWAY, NJ 08205-3334
(609) 617-0170
Mailing address
626 E CHANCERY LN, GALLOWAY, NJ 08205-3334
(609) 617-0170
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC01101400
NJ
Other
Enumeration date
12/15/2023
Last updated
02/19/2025
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