ANDREW JACKSON JACKSON

SACRAMENTO, CA
NPI1588932164
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2011-12-09
Last Update Date2011-12-09
Business Address
Mr. ANDREW JACKSON JACKSON
4441 AUBURN BLVD
SACRAMENTO, CA 95841-4139
Phone number: 916-473-5764
Mailing Address
Mr. ANDREW JACKSON JACKSON
4441 AUBURN BLVD STE E
SACRAMENTO, CA 95841-4139
Phone number: 916-473-5764
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