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1114673381
MELISSA JACKSON
BRICK, NJ
NPI
1114673381
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NJ 37AC00133700)
Enumeration Date
2022-02-26
Last Update Date
2022-02-26
Business Address
MELISSA JACKSON LAC
220 JACK MARTIN BLVD # E2
BRICK, NJ 08724-7772
Phone number: 732-920-3434
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Mailing Address
MELISSA JACKSON LAC
220 JACK MARTIN BLVD # E2
BRICK, NJ 08724-7772
Phone number: 732-239-3427
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