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Marguerite Jackson

Psychologist Professional Counselor Mental Health Counselor Addiction Counselor (Substance Use Disorder) and 2 more

7556 Woodcrest Ave
Philadelphia , Pennsylvania 19151-2704

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Addiction Counselor (Substance Use Disorder)
  • Mental Health Counselor
  • Professional Counselor
  • Psychologist
  • Addiction Psychologist (Substance Use Disorder)
  • Health Service

Languages spoken

  • English

Location

7556 Woodcrest Ave Philadelphia , Pennsylvania 19151-2704

First Address

  • Marguerite Jackson
  • 7556 Woodcrest Ave
  • Philadelphia, PA
  • Zip : 19151-2704
  • Phone : (215) 400-1551

Second Address

  • Marguerite Jackson
  • 7556 Woodcrest Ave
  • Philadelphia, PA
  • Zip : 19151-2704
  • Phone : (215) 400-1551

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FAQs


Where did Marguerite Jackson attend graduate school?

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Where did Marguerite Jackson do her residency?

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Where did Marguerite Jackson do her fellowship?

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Is Marguerite Jackson board certified?

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What type of doctor is Marguerite Jackson

Mental Health Counselor

In what state does Marguerite Jackson practice in?

Pennsylvania

Where is Marguerite Jackson ’s practice located?

7556 Woodcrest Ave , Philadelphia, Pennsylvania, 19151-2704

What is Marguerite Jackson ’s gender?

Female

Is Marguerite Jackson a sole practitioner?

No

Is Marguerite Jackson accepting new patients?

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What languages does Marguerite Jackson speak?

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Does Marguerite Jackson accept insurance?

Yes, Marguerite Jackson accepts insurance

Does Marguerite Jackson offers telemedicine?

Marguerite Jackson has not indicated if she offers telemedicine

What is Marguerite Jackson ’s professional license number?

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What is Marguerite Jackson ’s NPI number?

1053733782

Does Marguerite Jackson have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 101YA0400X Addiction Counselor (Substance Use Disorder)
Y 101YM0800X Mental Health Counselor
N 101YP2500X Professional Counselor
N 102L00000X Psychologist
N 103T00000X Psychologist
N 103TA0400X Addiction Psychologist (Substance Use Disorder)
N 103TH0100X Health Service

National Provider Identifier

NPI 1053733782
Provider Name Marguerite Jackson
First Address Philadelphia, PA 19151-2704
Second Address Philadelphia, PA 19151-2704
Gender F
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 15/01/2014
Last Update Date 22/03/2017

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
29692MD048189L (05) PA
30053142 KEYSTONE FIRST (01) PA

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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