TIM JACKSON

GARLAND, TX
NPI1215662200
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  13134)
Enumeration Date2022-07-22
Last Update Date2022-07-22
Business Address
TIM JACKSON
2402 HIGH STAR DR
GARLAND, TX 75041-3236
Phone number: 214-253-7309
Mailing Address
TIM JACKSON
2402 HIGH STAR DR
GARLAND, TX 75041-3236
Phone number: 214-253-7309
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