BRIAN JACKSON

JACKSONVILLE, FL
NPI1215470380
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: FL  4410)
Enumeration Date2016-11-22
Last Update Date2016-11-22
Business Address
DR. BRIAN JACKSON DR. AD, CAP
3 SHIRCLIFF WAY STE 640
JACKSONVILLE, FL 32204-4787
Phone number: 904-389-3784
Mailing Address
DR. BRIAN JACKSON DR. AD, CAP
3 SHIRCLIFF WAY STE 640
JACKSONVILLE, FL 32204-4787
Phone number: 904-389-3784
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