BLAIRE JACKSON

TAMPA, FL
NPI1245599547
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA  CAC 1335)
Enumeration Date2012-05-08
Last Update Date2015-07-14
Business Address
Mr. BLAIRE JACKSON CAC
5707 N 22ND ST
TAMPA, FL 33610-4350
Phone number: 813-239-8069
Mailing Address
Mr. BLAIRE JACKSON CAC
5707 N 22ND ST
TAMPA, FL 33610-4350
Phone number: 813-239-8069
Similar providers in Tampa, FL
RAYMOND ENRIQUE HEWITT II
BROOKE SPRAGUE
KIMBERLY S LANDRY
KRISTINA MARIE MILLER
PATRICIA BELLE WALTERS
SALLY K BRUCE
NANCY ANN TETEN
DEBBIE C LOPEZ
TAMPA LIFE COUNSELING, LLC
YOLANDA FELICIA WALKER