STEPHEN JACKSON

HUNTINGDON VALLEY, PA
NPI1558135517
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-11-10
Last Update Date2023-11-10
Business Address
STEPHEN JACKSON CRS, CPS
2755 PHILMONT AVE
HUNTINGDON VALLEY, PA 19006-5368
Phone number: 267-297-4116
Mailing Address
STEPHEN JACKSON CRS, CPS
4635 E STILES ST
PHILADELPHIA, PA 19137-1119
Phone number: 646-469-0120
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