LACENA T JACKSON

OAKLAND, CA
NPI1265216097
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-08-22
Last Update Date2023-08-22
Business Address
Ms. LACENA T JACKSON
2820 35TH AVE APT 9
OAKLAND, CA 94619-1100
Phone number: 510-706-7007
Mailing Address
Ms. LACENA T JACKSON
2820 35TH AVE APT 9
OAKLAND, CA 94619-1100
Phone number: 510-706-7007
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