SearchNew JerseyAddiction (Substance Use Disorder) Counselor

Justin Jackson, CPRS

NPI 1639812282 · on the registry since 2022

Practice

Address
393 Main St
Paterson, NJ 07501
Phone
(973) 523-6220
Organisation at this address
Eva'S Village
Eva'S Village, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
Addiction (Substance Use Disorder) Counselor
101YA0400X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-04-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey