ROGER DALE JACKSON

MERRILLVILLE, IN
NPI1366957342
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-12-12
Last Update Date2018-10-11
Business Address
ROGER DALE JACKSON MA
8200 GEORGIA ST
MERRILLVILLE, IN 46410-6227
Phone number: 219-791-1400
Mailing Address
ROGER DALE JACKSON MA
3021 E 36TH AVE
LAKE STATION, IN 46405-2966
Phone number: 219-743-6579
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