DORIS VIDAL DE JACKSON LCSW
NPI 1093095325
Counselor - Mental Health in Cherry Hill, NJ

Q: What is Doris Vidal De Jackson's NPI number?

The NPI number for Doris Vidal De Jackson is 1093095325. It was assigned to this individual provider in the NPPES registry on August 17, 2011.

Q: What is Doris Vidal De Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since August 17, 2011

2201 CHAPEL AVE W, CHERRY HILL, NJ 08002(856) 428-4357(856) 665-5193 Get Directions Write a Review

NPPES record last updated: August 17, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Doris Vidal De Jackson Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DORIS VIDAL DE JACKSON LCSW (NPI 1093095325) is an individual mental health provider in Cherry Hill, New Jersey, licensed in New Jersey (44SC00270500) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1093095325

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameDORIS VIDAL DE JACKSONCredential: LCSW

Location Address2201 CHAPEL AVE WCherry Hill, NJ 08002-2048

Mailing Address19 E Ormond AveCherry Hill, NJ 08034-2053 · (856) 428-1300

Phone(856) 428-4357

Fax(856) 665-5193

Sole ProprietorNo

Enumeration DateAugust 17, 2011

✔ NPI 1093095325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NJ · 44SC00270500

2201 CHAPEL AVE W, Cherry Hill, NJ 08002

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA BLUFORD

Counselor (Mental Health)

2201 CHAPEL AVE W
CHERRY HILL, NJ 08002

Camden County (856) 665-3613

STUART G. DUBOWITCH D.O.

Orthopaedic Surgery

2201 CHAPEL AVE W
CHERRY HILL, NJ 08002

Camden County (856) 663-7080

CLAUDIA M. PETRUNCIO DO PA

Internal Medicine

2201 CHAPEL AVE W, SUITE 106
CHERRY HILL, NJ 08002

Camden County (856) 488-6785

NICHOLAS H LORD PA-C

Physician Assistant

2201 CHAPEL AVE W
CHERRY HILL, NJ 08002

Camden County (856) 488-6500

MR. ALLAN MOTICSKA CRNA

Nurse Anesthetist, Certified Registered

2201 CHAPEL AVE W, KENNEDY HEALTH SYSTEM
CHERRY HILL, NJ 08002

Camden County (856) 488-6500

MATTHEW EVERWINE DO

Internal Medicine (Gastroenterology)

2201 CHAPEL AVE W
CHERRY HILL, NJ 08002

Camden County (856) 513-4124

MRS. KIMBERLY HASSON

Counselor (Professional)

2201 CHAPEL AVE W
CHERRY HILL, NJ 08002

Camden County (856) 488-6789

DR. JENNI M. DAVIS M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

2201 CHAPEL AVE W, KENNEDY MEMORIAL HOSPITAL-UMC
CHERRY HILL, NJ 08002

Camden County (856) 488-6560

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Doris Vidal De Jackson's NPI number?

The NPI number for Doris Vidal De Jackson is 1093095325. It was assigned to this individual provider in the NPPES registry on August 17, 2011.

Where is Doris Vidal De Jackson located?

Doris Vidal De Jackson practices at 2201 Chapel Ave W, Cherry Hill, NJ 08002. The listed phone number is (856) 428-4357.

What is Doris Vidal De Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Doris Vidal De Jackson was last updated on August 17, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.