SHYRA D'ANN JACKSON

RICHMOND, CA
NPI1134635824
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  12554-R)
Enumeration Date2017-12-18
Last Update Date2017-12-18
Business Address
SHYRA D'ANN JACKSON
12960 SAN PABLO AVE
RICHMOND, CA 94805-1307
Phone number: 510-215-2280
Mailing Address
SHYRA D'ANN JACKSON
1901 CHURCH LN
SAN PABLO, CA 94806-3707
Phone number: 510-215-2280
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