Tillson, Jacqueline Ann

Tillson, Jacqueline Ann is an sole proprietor health care provider with primary practice located at 1 Old Wolfe Rd Suite 203, Budd Lake NJ 07828-3213. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Tillson, Jacqueline Ann can be contacted via phone (862) 432-9783.

Contact Information

Primary practice address
1 Old Wolfe Rd Suite 203 Budd Lake NJ 07828-3213
Phone: (862) 432-9783
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00106500 New Jersey
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC00375000 New Jersey

Profile Details

NPI number 1992094890
LBN Legal business name Tillson, Jacqueline Ann
Credentials LPC, LCADC, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2011
Last updated Mar 31st, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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