Individual provider · Type 1 NPI

Doris Vidal de Jackson, LCSW

Mental Health Counselor · Cherry Hill, NJ

NPI number 1093095325 Active

Practice location

2201 Chapel Ave W
Cherry Hill, NJ 08002-2048

Call (856) 428-4357 Map

Fax (856) 665-5193

Mailing address

19 E Ormond Ave
Cherry Hill, NJ 08034-2053

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X44SC00270500 (NJ)

Mental Health Counselor: Definition to come...

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About NPI 1093095325

Doris Vidal de Jackson, LCSW's National Provider Identifier is 1093095325, issued on Aug 17, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cherry Hill, NJ. The record was last updated on Aug 17, 2011.