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1114363389
JOHN JAMES JACKSON
NEW YORK, NY
NPI
1114363389
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 7509484)
Enumeration Date
2013-05-15
Last Update Date
2013-05-15
Business Address
Mr. JOHN JAMES JACKSON LMSW
248 W 108TH ST
NEW YORK, NY 10025-2956
Phone number: 212-663-3000
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Mailing Address
Mr. JOHN JAMES JACKSON LMSW
248 W 108TH ST
NEW YORK, NY 10025-2956
Phone number: 212-663-3000
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