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1215561030
JEANETTA JACKSON
EL CAJON, CA
NPI
1215561030
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-03-02
Last Update Date
2020-03-02
Business Address
JEANETTA JACKSON
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number: 619-442-0227
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Mailing Address
JEANETTA JACKSON
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number:
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