PHANNONG JACKSON

STOCKTON, CA
NPI1447474382
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  IMF41435)
Enumeration Date2007-04-12
Last Update Date2007-07-08
Business Address
PHANNONG JACKSON MFTI
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8700
Mailing Address
PHANNONG JACKSON MFTI
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8700
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