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1275313223
JAMES FRED JACKSON
REDDING, CA
NPI
1275313223
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-10-05
Last Update Date
2023-10-05
Business Address
JAMES FRED JACKSON
3590 EL PORTAL DR APT 15
REDDING, CA 96002-3154
Phone number: 530-722-1114
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Mailing Address
JAMES FRED JACKSON
PO BOX 107
ROUND MOUNTAIN, CA 96084-0107
Phone number: 530-782-6574
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