WAYNE HARRISON JACKSON

CAMARILLO, CA
NPI1013245828
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2009-12-07
Last Update Date2009-12-07
Business Address
Mr. WAYNE HARRISON JACKSON
1722 S LEWIS RD
CAMARILLO, CA 93012-8520
Phone number: 805-928-8622
Mailing Address
Mr. WAYNE HARRISON JACKSON
124 CARMEN LN STE J-L
SANTA MARIA, CA 93458-7768
Phone number: 805-928-8622
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