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1134651375
JAMES JACKSON
TUCSON, AZ
NPI
1134651375
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: AZ LISAC1463)
Enumeration Date
2017-03-28
Last Update Date
2017-03-28
Business Address
JAMES JACKSON
1773 W SAINT MARYS RD
TUCSON, AZ 85745-2654
Phone number: 520-883-1898
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Mailing Address
JAMES JACKSON
1773 W SAINT MARYS RD
TUCSON, AZ 85745-2654
Phone number: 520-883-1898
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