ANTOINE JACKSON

ORANGE, CA
NPI1447745088
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-06-26
Last Update Date2018-06-26
Business Address
ANTOINE JACKSON
401 S TUSTIN ST
ORANGE, CA 92866-2550
Phone number: 714-289-3936
Mailing Address
ANTOINE JACKSON
2185 W COLLEGE AVE APT 3018
SAN BERNARDINO, CA 92407-7027
Phone number:
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