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1417320995
PAMELA ELAINE JACKSON
OAKLAND, CA
NPI
1417320995
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA C031390315)
Enumeration Date
2015-11-05
Last Update Date
2015-11-05
Business Address
Ms. PAMELA ELAINE JACKSON CAS
7200 BANCROFT AVE STE 176
OAKLAND, CA 94605-2411
Phone number: 510-568-2432
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Mailing Address
Ms. PAMELA ELAINE JACKSON CAS
7200 BANCROFT AVE STE 176
OAKLAND, CA 94605-2411
Phone number: 510-568-2432
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