CLIFTON GRANT JACKSON

CHICO, CA
NPI1306102140
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: WA  CG60195368)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2012-04-05
Last Update Date2023-07-18
Business Address
CLIFTON GRANT JACKSON
1360 E LASSEN AVE
CHICO, CA 95973-7823
Phone number: 530-267-1753
Mailing Address
CLIFTON GRANT JACKSON
1360 E LASSEN AVE
CHICO, CA 95973-7823
Phone number: 530-267-1753
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