Joanne Jackal in Millburn - Addiction (substance Use Disorder)
Joanne Jackal - NPI 1174702500
Joanne Jackal is a Addiction (substance Use Disorder) in Millburn, New Jersey. Joanne Jackal practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Joanne Jackal is 1174702500. The last update date is 2007-11-01.
Joanne Jackal's current location address is 7 Undercliff Rd, Millburn, New Jersey. You can contact this provider via phone number 9735647651 and fax number 9735647651. The mailing address for Joanne Jackal is 7 Undercliff Rd, Millburn, New Jersey. To know further, please read the information below!
Provider Profile Detail
Provider Name | Joanne Jackal |
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Address | 7 Undercliff Rd, Millburn, New Jersey |
Phone Number | 9735647651 |
Fax Number | 9735647651 |
Sole Proprietor | Y |
Credentials | PH.D, LCSW |
NPI Number Detail
NPI Number | 1174702500 |
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Provider Enumeration Date | 2007-11-01 |
Last Updated Date | 2007-11-01 |
Provider Mailing Address Detail
Address | 7 Undercliff Rd |
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City | Millburn |
State | New Jersey (NJ) |
Post Code | 70411509 |
Phone Number | 9735647651 |
Fax Number | 9735647651 |
Provider's Primary Taxonomy Detail
Speciality | Addiction (substance Use Disorder) |
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Taxonomy | 101Ya0400X |
Licence No | 2404 |
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
Post Comment/ Review Below
What is the Joanne Jackal's unique identification number?
The Joanne Jackal has been assigned the NPI (National Provider Identifier) Number 1174702500 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Joanne Jackal's facilities are situated?
The facilities of Joanne Jackal are physically located at the following address: 7 Undercliff Rd, Millburn, NJ, 70411509.
What is Joanne Jackal's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Joanne Jackal is Addiction (substance Use Disorder), and the corresponding taxonomy classification code for this specialized field is 101Ya0400X.
On what date did the Joanne Jackal receive the assignment of its 1174702500 from the Centers for Medicare & Medicaid Services?
The Joanne Jackal was issued its 1174702500 by the Centers for Medicare & Medicaid Services on 2007-11-01.
When was the information related to Joanne Jackal most recently updated or refreshed?
The details pertaining to the Joanne Jackal, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-11-01.