Individual provider · Type 1 NPI

Melissa Jackson, LAC

Mental Health Counselor · Brick, NJ

NPI number 1114673381 Active

About NPI 1114673381

Melissa Jackson, LAC's National Provider Identifier is 1114673381, issued on Feb 26, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brick, NJ. The record was last updated on Feb 26, 2022.