Individual provider · Type 1 NPI
Susan Jackson, MS, LCADC
Addiction (Substance Use Disorder) Counselor · Flemington, NJ
NPI number
1700938438
Active
Practice location
2100 Wescott Dr, Hbh 5th Fl
Flemington, NJ 08822-4603
Fax (908) 788-6584
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 37LC00119600 (NJ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1700938438
Susan Jackson, MS, LCADC's National Provider Identifier is 1700938438, issued on Jan 16, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Flemington, NJ. The record was last updated on Jul 8, 2007.