CASIEL DOMINIQUE JACKSON

MESA, AZ
NPI1487373130
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AZ  LAC-7258T)
Enumeration Date2022-08-25
Last Update Date2022-08-25
Business Address
CASIEL DOMINIQUE JACKSON LAC
1705 W MAIN ST
MESA, AZ 85201-6920
Phone number: 877-809-5092
Mailing Address
CASIEL DOMINIQUE JACKSON LAC
45464 W LONG WAY
MARICOPA, AZ 85139-7074
Phone number: 248-934-9060
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