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1558742395
SHANNON MARIE JACKSON
LA MESA, CA
NPI
1558742395
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: CA LPCC658)
Enumeration Date
2015-06-17
Last Update Date
2015-06-17
Business Address
Mrs. SHANNON MARIE JACKSON
4990 WILLIAMS AVE
LA MESA, CA 91942-7409
Phone number: 619-668-4265
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Mailing Address
Mrs. SHANNON MARIE JACKSON
4990 WILLIAMS AVE
LA MESA, CA 91942-7409
Phone number: 619-668-4265
Copy
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