CLARISSA JACKSON

STEPHENVILLE, TX
NPI1417454315
Former NameCLARISSA MOSES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  12992)
Enumeration Date2018-04-09
Last Update Date2018-04-09
Business Address
CLARISSA JACKSON LCDC
3080 W WASHINGTON ST STE B
STEPHENVILLE, TX 76401-3756
Phone number: 254-965-5515
Mailing Address
CLARISSA JACKSON LCDC
3080 W WASHINGTON ST STE B
STEPHENVILLE, TX 76401-3756
Phone number: 254-965-5515
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