MS. CALAISE JACKSON

Counselor

Active Individual
NPI: 1669807673

Practice Address

615 LACEY RD STE 3
Forked River, NJ 08731

Phone: (609) 242-3322

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes -

Frequently Asked Questions

NPI 1669807673 is the National Provider Identifier for MS. CALAISE JACKSON, a Counselor provider located in Forked River, NJ. This NPI was enumerated on September 9, 2013.
MS. CALAISE JACKSON practices at 615 LACEY RD STE 3, Forked River, NJ 08731.

Quick Facts

NPI
1669807673
Type
Individual
Enumerated
Sep 9, 2013
Last Updated
Sep 9, 2013

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