Jacqueline Tillson, LPC, LCADC, NCC

NPI 1992094890 · on the registry since 2011 · sole proprietor

Practice

Address: 1 Old Wolfe Rd
Suite 203
Budd Lake, NJ 07828
Phone: (862) 432-9783
Organisation at this address: Jennifer Whitlock, Lpc
Functional Chiropractic Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Also registered as: 101YP2500X
Licence states on file: NJ
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2011-03-31

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