DOUGLAS CLARENCE JACKSON

BROOKLYN, NY
NPI1013160316
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
Enumeration Date2008-10-30
Last Update Date2008-10-30
Business Address
Mr. DOUGLAS CLARENCE JACKSON Substance counselor
2384 ATLANTIC AVE
BROOKLYN, NY 11233-3402
Phone number: 718-495-0920
Mailing Address
Mr. DOUGLAS CLARENCE JACKSON Substance counselor
2384 ATLANTIC AVE
BROOKLYN, NY 11233-3402
Phone number: 718-495-0920