JUSTIN ALBERT JACKSON

PATERSON, NJ
NPI1639812282
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NJ  CPRS-50177)
Enumeration Date2022-04-20
Last Update Date2022-04-20
Business Address
Mr. JUSTIN ALBERT JACKSON CPRS
393 MAIN ST
PATERSON, NJ 07501-2815
Phone number: 973-523-6220
Mailing Address
Mr. JUSTIN ALBERT JACKSON CPRS
99 MARKET ST APT 3
PATERSON, NJ 07505-1235
Phone number: 973-390-7089
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