Individual
NELL T JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C.
Contact information
Practice address
29 OLCOTT SQ, SUITE 2, BERNARDSVILLE, NJ 07924-2306
(908) 953-9200
(908) 953-9220
Mailing address
29 OLCOTT SQ, SUITE 2, BERNARDSVILLE, NJ 07924-2306
(908) 953-9200
(908) 953-9220
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00090600
NJ
Other
Enumeration date
12/10/2012
Last updated
12/10/2012
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