TATILLE JACKSON

OAKLAND, CA
NPI1396441275
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-02-02
Last Update Date2023-02-02
Business Address
TATILLE JACKSON
2545 SAN PABLO AVE
OAKLAND, CA 94612-1121
Phone number: 510-446-7160
Mailing Address
TATILLE JACKSON
1605 CLAY ST UNIT 3
OAKLAND, CA 94612-1827
Phone number: