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1043925266
JACKSON FAMILY THERAPY LLC
HESPERIA, CA
NPI
1043925266
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Entity Type
Organization
Authorized Contact
ANDRE NAKROMBA JACKSON
Owner
619-949-4476
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-01-23
Last Update Date
2023-01-23
Business Address
JACKSON FAMILY THERAPY LLC
17565 EL CAJON DR
HESPERIA, CA 92345-7218
Phone number: 760-979-8058
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Mailing Address
JACKSON FAMILY THERAPY LLC
17565 EL CAJON DR
HESPERIA, CA 92345-7218
Phone number: 760-979-8058
Copy
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