Individual provider · Type 1 NPI
Jacqueline Ann Tillson, LPC, LCADC, NCC
Addiction (Substance Use Disorder) Counselor · Budd Lake, NJ
NPI number
1992094890
Active
Practice location
1 Old Wolfe Rd, Suite 203
Budd Lake, NJ 07828-3213
Mailing address
45 Dorset Dr
Hackettstown, NJ 07840-5010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 37LC00106500 (NJ) |
| Professional Counselor | 101YP2500X | 37PC00375000 (NJ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
4 other providers at this address
About NPI 1992094890
Jacqueline Ann Tillson, LPC, LCADC, NCC's National Provider Identifier is 1992094890, issued on Mar 31, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Budd Lake, NJ. The record was last updated on Mar 31, 2011.