JAMES JACKSON

TUCSON, AZ
NPI1134651375
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  LISAC1463)
Enumeration Date2017-03-28
Last Update Date2017-03-28
Business Address
-- JAMES JACKSON
1773 W SAINT MARYS RD
TUCSON, AZ 85745-2654
Phone number: 520-883-1898
Mailing Address
-- JAMES JACKSON
1773 W SAINT MARYS RD
TUCSON, AZ 85745-2654
Phone number: 520-883-1898
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