REGINA LOUISE JACKSON

MINNEAPOLIS, MN
NPI1649460478
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  301404)
Enumeration Date2007-07-27
Last Update Date2007-07-27
Business Address
-- REGINA LOUISE JACKSON
2616 NICOLLET AVE
MINNEAPOLIS, MN 55408-1628
Phone number: 612-871-7878
Mailing Address
-- REGINA LOUISE JACKSON
2616 NICOLLET AVE
MINNEAPOLIS, MN 55408-1628
Phone number: 612-871-7878
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