ALICIA JACKSON

LONGVIEW, WA
NPI1659622975
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: WA  60926696)
Enumeration Date2012-09-26
Last Update Date2019-03-06
Business Address
ALICIA JACKSON M.A., C.M.H.S.
720 14TH AVE.
LONGVIEW, WA 98632
Phone number: 360-423-0203
Mailing Address
ALICIA JACKSON M.A., C.M.H.S.
921 14TH AVENUE
LONGVIEW, WA 98632
Phone number: 360-423-0203
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