CAROLE INA JACKSON

TAOS, NM
NPI1053546184
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NM  0132791)
Enumeration Date2009-05-19
Last Update Date2012-11-28
Business Address
Ms. CAROLE INA JACKSON LPCC
1337 GUSDORF ROAD SUITE E
TAOS, NM 87571
Phone number: 575-758-4297
Mailing Address
Ms. CAROLE INA JACKSON LPCC
PO BOX 237
EL PRADO, NM 87529-0237
Phone number: 575-776-2620
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