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1184091720
RACHEL ELLEN JACKSON
EL CAJON, CA
NPI
1184091720
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-08-31
Last Update Date
2015-08-31
Business Address
-- RACHEL ELLEN JACKSON
1365 N JOHNSON AVE STE 111
EL CAJON, CA 92020-1649
Phone number: 619-440-4801
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Mailing Address
-- RACHEL ELLEN JACKSON
1365 N JOHNSON AVE STE 111
EL CAJON, CA 92020-1649
Phone number: 619-440-4801
Copy
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