SELENA JACKSON

KETCHIKAN, AK
NPI1053917567
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2020-12-09
Last Update Date2021-02-09
Business Address
SELENA JACKSON
2434 FOURTH AVE
KETCHIKAN, AK 99901-5820
Phone number: 907-225-7825
Mailing Address
SELENA JACKSON
721 STEDMAN ST
KETCHIKAN, AK 99901-6632
Phone number: 907-225-7825
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