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1184771537
KATHLEEN A JACKSON
ALBUQUERQUE, NM
NPI
1184771537
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NM 1153)
Enumeration Date
2007-01-05
Last Update Date
2007-07-08
Business Address
-- KATHLEEN A JACKSON LPCC
1101 MEDICAL ARTS AVE NE BLDG 3
ALBUQUERQUE, NM 87102-2706
Phone number: 505-842-5300
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Mailing Address
-- KATHLEEN A JACKSON LPCC
1101 MEDICAL ARTS AVE NE BLDG 3
ALBUQUERQUE, NM 87102-2706
Phone number: 505-842-5300
Copy
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