FRANK VASS JACKSON

BOWLING GREEN, KY
NPI1427548296
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY  172452)
Enumeration Date2018-05-16
Last Update Date2018-05-16
Business Address
FRANK VASS JACKSON Temporary CADC
2349 RUSSELLVILLE RD
BOWLING GREEN, KY 42101-3986
Phone number: 270-438-8641
Mailing Address
FRANK VASS JACKSON Temporary CADC
2349 RUSSELLVILLE RD
BOWLING GREEN, KY 42101-3986
Phone number: 270-781-3387
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