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1063548709
LISA KATHRYN JACKSON
ALBUQUERQUE, NM
NPI
1063548709
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NM 0124141)
Enumeration Date
2007-02-26
Last Update Date
2021-01-21
Business Address
LISA KATHRYN JACKSON LPCC
3025 FLORIDA ST NE
ALBUQUERQUE, NM 87110-2614
Phone number: 505-417-6744
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Mailing Address
LISA KATHRYN JACKSON LPCC
4312 CARLISLE BLVD NE
ALBUQUERQUE, NM 87107-4811
Phone number: 505-323-3785
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