GALLARD JACKSON

SAN DIEGO, CA
NPI1588707715
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-02-15
Last Update Date2007-07-08
Business Address
Mr. GALLARD JACKSON
3078 EL CAJON BLVD
SAN DIEGO, CA 92104-1322
Phone number: 619-521-1743
Mailing Address
Mr. GALLARD JACKSON
3078 EL CAJON BLVD
SAN DIEGO, CA 92104-1322
Phone number: 619-521-1743
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