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

Mr. Justin Albert Jackson, CPRS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1639812282

Mr. Justin Albert Jackson, CPRS is an Addiction (Substance Use Disorder) Counselor in Paterson, New Jersey. Licensed in New Jersey. Registered with an NPI since 2022.

Licensed in
NJ
In the registry since
2022

Practice location Address checks out

393 Main St
Paterson, NJ 07501-2815
Phone: (973) 523-6220
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CPRS-50177 (NJ)

Record details

NPI number1639812282
Entity typeIndividual (Type 1)
GenderMale
Credentials CPRS
Sole proprietorNo
NPI enumeratedApril 20, 2022
Last updated in NPPESApril 20, 2022
Certification dateApril 20, 2022

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