CAROL DENISE JACKSON

DES MOINES, IA
NPI1487980652
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA  92151)
Enumeration Date2009-10-23
Last Update Date2009-10-23
Business Address
Mrs. CAROL DENISE JACKSON ACADC
1522 17TH STREET
DES MOINES, IA 50314-0000
Phone number: 515-279-0335
Mailing Address
Mrs. CAROL DENISE JACKSON ACADC
1522 17TH ST
DES MOINES, IA 50314-1418
Phone number: 515-279-0335
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