RICKY CHARLES JACKSON - NPI 1598403404 - Counselor in Westampton, NJ

Q: What is Ricky Jackson's NPI number?

The NPI number for Ricky Jackson is 1598403404. It was assigned to this individual provider in the NPPES registry on May 23, 2022.

Q: What is Ricky Jackson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Ricky Jackson was last updated on May 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ricky Charles Jackson NPPES

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

RICKY CHARLES JACKSON (NPI 1598403404) is an individual counselor in Westampton, New Jersey and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1598403404

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameRICKY CHARLES JACKSON

Location Address770 WOODLANE RDWestampton, NJ 08060-3804

Mailing Address213 W Union StBurlington, NJ 08016-1331 · (609) 845-5098

Phone(609) 845-3738

Sole ProprietorNo

Enumeration DateMay 23, 2022

NPPES CertifiedMay 23, 2022

✔ NPI 1598403404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

770 WOODLANE RD, Westampton, NJ 08060

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