ANTHONY JACKSON

SACRAMENTO, CA
NPI1245307073
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  5076)
Enumeration Date2006-11-29
Last Update Date2007-07-08
Business Address
Mr. ANTHONY JACKSON
2237 RIVER PLAZA DR
SACRAMENTO, CA 95833-3836
Phone number: 916-391-4293
Mailing Address
Mr. ANTHONY JACKSON
2237 RIVER PLAZA DR
SACRAMENTO, CA 95833-3836
Phone number: 916-391-4293
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