TANANNA RAYLYNN JACKSON

FRESNO, CA
NPI1578432522
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  17666)
Enumeration Date2025-10-29
Last Update Date2025-10-29
Business Address
TANANNA RAYLYNN JACKSON
2550 W CLINTON AVE UNIT 311
FRESNO, CA 93705-4218
Phone number: 559-365-9665
Mailing Address
TANANNA RAYLYNN JACKSON
2550 W CLINTON AVE UNIT 311
FRESNO, CA 93705-4218
Phone number: 559-365-9665
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