LISA JACKSON

COAL GROVE, OH
NPI1265603500
Former NameLISA JACKSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OH  S-0015848)
Enumeration Date2008-03-14
Last Update Date2008-03-14
Business Address
Mrs. LISA JACKSON LSW
715 LANE ST
COAL GROVE, OH 45638-3161
Phone number: 740-355-8606
Mailing Address
Mrs. LISA JACKSON LSW
PO BOX 1507
PORTSMOUTH, OH 45662
Phone number: 740-355-8606
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