Individual provider · Type 1 NPI

Justin Albert Jackson, CPRS

Addiction (Substance Use Disorder) Counselor · Paterson, NJ

NPI number 1639812282 Active

Practice location

393 Main St
Paterson, NJ 07501-2815

Call (973) 523-6220 Map

Mailing address

99 Market St Apt 3
Paterson, NJ 07505-1235

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCPRS-50177 (NJ)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1639812282

Justin Albert Jackson, CPRS's National Provider Identifier is 1639812282, issued on Apr 20, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Paterson, NJ. The record was last updated on Apr 20, 2022.