KENNETH EDWARD JACKSON

OAKLAND, CA
NPI1023372026
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2012-06-25
Last Update Date2012-06-25
Business Address
Mr. KENNETH EDWARD JACKSON
4368 LINCOLN AVE
OAKLAND, CA 94602-2529
Phone number: 510-531-3111
Mailing Address
Mr. KENNETH EDWARD JACKSON
4368 LINCOLN AVE
OAKLAND, CA 94602-2529
Phone number: 510-531-3111
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