ANTHONY X JACKSON

SACRAMENTO, CA
NPI1396324554
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-04-05
Last Update Date2021-04-05
Business Address
ANTHONY X JACKSON
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823-2006
Phone number: 916-395-3552
Mailing Address
ANTHONY X JACKSON
657 MADERE ST
RIO VISTA, CA 94571-1276
Phone number: 415-410-7659
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