ALYCIA JACKSON

SAN BERNARDINO, CA
NPI1326469123
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-12-20
Last Update Date2013-12-20
Business Address
Ms. ALYCIA JACKSON
1963 N E ST
SAN BERNARDINO, CA 92405-3919
Phone number: 909-881-6146
Mailing Address
Ms. ALYCIA JACKSON
1963 N E ST
SAN BERNARDINO, CA 92405-3919
Phone number: 909-881-6146
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