Ashley Starr Jackson
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Cliffwood, NJ
NPI 1417634841 · NPPES record last updated Jun 29, 2023
Key facts
- NPI
- 1417634841
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 111 State Route 35
Cliffwood, NJ 07721-1512 - Phone
- (732) 812-5489
- Fax
- (732) 566-1937
- NPI assigned
- Jun 28, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Methadone Clinic | 261QM2800X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
111 State Route 35
Cliffwood, NJ 07721-1512
Mailing address
275 Laurence Pkwy # B
Laurence Harbor, NJ 08879-2766
Phone (908) 451-4120
Other names
- Ashley Starr Mitricka
Other providers in Cliffwood, NJ
- Patricia Hanson
- Kristina Maria Heredia I
- Steven Benjamin Hoffman
- Elizabeth Ianno
- Kehinde Williams Ibitola
- Karen Anne Johnson
- Andrew Kaplan
- Patricia Kazanowski
- Imani Kelley
- Michelle Kurc
All providers in Cliffwood, NJ · Addiction (Substance Use Disorder) Counselor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.