Individual provider · Type 1 NPI
Jackie Re, LCADC
Addiction (Substance Use Disorder) Counselor · Blairstown, NJ
NPI number
1275127946
Active
Practice location
100 Mohican Rd
Blairstown, NJ 07825-9687
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 37LC00325900 (NJ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1275127946
Jackie Re, LCADC's National Provider Identifier is 1275127946, issued on Feb 23, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Blairstown, NJ. The record was last updated on Feb 23, 2021.