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1447595178
DOUG B JACKSON
SACRAMENTO, CA
NPI
1447595178
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-12-06
Last Update Date
2012-12-06
Business Address
-- DOUG B JACKSON Counselor
7600 GREENHAVEN DR SUITE 202
SACRAMENTO, CA 95831
Phone number: 916-422-2556
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Mailing Address
-- DOUG B JACKSON Counselor
7600 GREENHAVEN DR SUITE 202
SACRAMENTO, CA 95831
Phone number: 916-422-2556
Copy
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