SHALIMAR G JACKSON

SAN DIEGO, CA
NPI1306158761
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2010-07-13
Last Update Date2010-07-13
Business Address
SHALIMAR G JACKSON
9445 FARNHAM ST
SAN DIEGO, CA 92123-1308
Phone number: 858-380-4676
Mailing Address
SHALIMAR G JACKSON
9445 FARNHAM ST
SAN DIEGO, CA 92123-1308
Phone number: 858-380-4676