Provider Demographics
NPI:1477337723
Name:ISAACSON, JILL (MS)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:
Last Name:ISAACSON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:713 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18042-4368
Mailing Address - Country:US
Mailing Address - Phone:484-716-7035
Mailing Address - Fax:
Practice Address - Street 1:78 S COURTLAND ST
Practice Address - Street 2:STE 3, 2ND FLOOR
Practice Address - City:EAST STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18301-2852
Practice Address - Country:US
Practice Address - Phone:570-856-4232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-18
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health