TRACY JACKSON

NEVADA CITY, CA
NPI1568879732
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2014-07-18
Last Update Date2017-02-22
Business Address
-- TRACY JACKSON
24077 STATE HIGHWAY 49
NEVADA CITY, CA 95959-8519
Phone number: 530-265-9057
Mailing Address
-- TRACY JACKSON
24077 STATE HIGHWAY 49
NEVADA CITY, CA 95959-8519
Phone number: 530-265-9057