Individual provider · Type 1 NPI

Melissa Green-Jackson, LPC

Professional Counselor · Midland Park, NJ

NPI number 1013563576 Active

Practice location

317 Godwin Ave
Midland Park, NJ 07432-1519

Call (201) 241-2422 Map

Mailing address

159 Vreeland Ave
Rutherford, NJ 07070-2229

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X37PC00400000 (NJ)

Professional Counselor: Definition to come...

24 other providers at this address

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About NPI 1013563576

Melissa Green-Jackson, LPC's National Provider Identifier is 1013563576, issued on Aug 12, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Midland Park, NJ. The record was last updated on Aug 12, 2019.