JOANNE KELLY JACKSON

HILLSBORO, OR
NPI1417074675
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-03-23
Last Update Date2008-03-07
Business Address
-- JOANNE KELLY JACKSON B.A,B.A.,CADC 1
205 SE 3RD AVE
HILLSBORO, OR 97123-4093
Phone number: 503-693-3104
Mailing Address
-- JOANNE KELLY JACKSON B.A,B.A.,CADC 1
205 SE 3RD AVE
HILLSBORO, OR 97123-4093
Phone number: