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1154459527
LEONARD JACKSON
OAKLAND, CA
NPI
1154459527
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-02-28
Last Update Date
2007-07-08
Business Address
Mr. LEONARD JACKSON
4368 LINCOLN AVE
OAKLAND, CA 94602-2529
Phone number: 510-531-3111
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Mailing Address
Mr. LEONARD JACKSON
3308 WYMAN ST
OAKLAND, CA 94619-3464
Phone number: 510-261-1027
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