NATACHA JACKSON

BRIDGEPORT, CT
NPI1285098798
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT  001179)
Enumeration Date2016-04-11
Last Update Date2016-04-11
Business Address
-- NATACHA JACKSON
180 FAIRFIELD AVE
BRIDGEPORT, CT 06604-4252
Phone number: 203-394-6529
Mailing Address
-- NATACHA JACKSON
180 FAIRFIELD AVE
BRIDGEPORT, CT 06604-4252
Phone number: 203-394-6529
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