JACKIE JACKSON

LOMPOC, CA
NPI1356476501
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-02-21
Last Update Date2009-08-12
Business Address
-- JACKIE JACKSON
604 W OCEAN AVE
LOMPOC, CA 93436-6630
Phone number: 805-346-8185
Mailing Address
-- JACKIE JACKSON
619 E COOK ST
SANTA MARIA, CA 93454-5750
Phone number: 805-922-1991
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