Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Jackson

Individual provider Counselor · NPI 1093121477

Mary Jackson is a Counselor in Clark, New Jersey. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

15 Brant Ave Ste 8
Clark, NJ 07066-1564
Phone: (908) 922-3309
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1093121477
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 7, 2014
Last updated in NPPESJuly 7, 2014
Mailing address15 Brant Ave, Suite 8, Clark, NJ 07066-1564

Other providers in Clark