DAVID W JACKSON

CLOVIS, NM
NPI1427280668
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NM  0089191)
Enumeration Date2009-08-21
Last Update Date2009-08-21
Business Address
-- DAVID W JACKSON LPCC
919 RENCHER ST
CLOVIS, NM 88101-5858
Phone number: 575-769-2142
Mailing Address
-- DAVID W JACKSON LPCC
919 RENCHER ST
CLOVIS, NM 88101-5858
Phone number: 575-769-2142
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