Individual
JACKIE ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22-08 ROUTE 208, FAIR LAWN, NJ 07410-2609
(201) 740-7085
Mailing address
22-08 ROUTE 208, FAIR LAWN, NJ 07410-2609
(201) 740-7085
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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