ANTHONY JACKSON

SACRAMENTO, CA
NPI1396324554
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  16228)
Enumeration Date2021-04-05
Last Update Date2025-08-11
Business Address
ANTHONY JACKSON
1550 JULIESSE AVE
SACRAMENTO, CA 95815-1803
Phone number: 916-921-6598
Mailing Address
ANTHONY JACKSON
1550 JULIESSE AVE
SACRAMENTO, CA 95815-1803
Phone number: 916-921-6598
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