EDWARD JACKSON

OAKLAND, CA
NPI1083816326
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-05-31
Last Update Date2007-07-08
Business Address
Mr. EDWARD JACKSON
3007 TELEGRAPH AVE
OAKLAND, CA 94609-3205
Phone number: 510-433-1500
Mailing Address
Mr. EDWARD JACKSON
3007 TELEGRAPH AVE
OAKLAND, CA 94609-3205
Phone number: 510-433-1500
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