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1609279702
ALEX JACKSON
VENTURA, CA
NPI
1609279702
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-10-02
Last Update Date
2014-10-02
Business Address
-- ALEX JACKSON
1838 EASTMAN AVE STE 100
VENTURA, CA 93003-6498
Phone number: 805-665-7748
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Mailing Address
-- ALEX JACKSON
1838 EASTMAN AVE STE 100
VENTURA, CA 93003-6498
Phone number: 805-665-7748
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