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1275730541
JAMES JOSEPH JACKSON
AUSTIN, TX
NPI
1275730541
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 7431)
Enumeration Date
2007-06-29
Last Update Date
2007-07-08
Business Address
Dr. JAMES JOSEPH JACKSON LCDC
3000 OAK SPRINGS DR
AUSTIN, TX 78702-2531
Phone number: 512-804-3523
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Mailing Address
Dr. JAMES JOSEPH JACKSON LCDC
PO BOX 3548
AUSTIN, TX 78764-3548
Phone number: 512-804-3523
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