JEANETTE JACKSON

FRESNO, CA
NPI1396175626
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-11-22
Last Update Date2013-11-22
Business Address
-- JEANETTE JACKSON
4705 N SONORA AVE
FRESNO, CA 93722-3966
Phone number: 559-276-7558
Mailing Address
-- JEANETTE JACKSON
4705 N SONORA AVE
FRESNO, CA 93722-3966
Phone number: 559-276-7558