LASHAN JACKSON

LANCASTER, CA
NPI1104358399
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1426890421)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-03-28
Last Update Date2021-12-28
Business Address
LASHAN JACKSON RADI
44459 10TH ST W
LANCASTER, CA 93534-3324
Phone number: 661-726-2630
Mailing Address
LASHAN JACKSON RADI
44459 10TH ST W
LANCASTER, CA 93534-3324
Phone number: 661-726-2630