Individual provider · Type 1 NPI

Marvina Jackson

Mental Health Counselor · Willingboro, NJ

NPI number 1356584528 Active

Practice location

218A Sunset Rd
Willingboro, NJ 08046-1110

Call (609) 835-6180 Map

Fax (609) 835-7962

Mailing address

1289 Route 38
Hainesport, NJ 08036-2730

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Specialist 174400000XS4356 (NJ)

Mental Health Counselor: Definition to come...

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About NPI 1356584528

Marvina Jackson's National Provider Identifier is 1356584528, issued on Apr 17, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Willingboro, NJ. The record was last updated on Apr 17, 2009.