WANDA LAVINA JACKSON

SACRAMENTO, CA
NPI1699483040
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  B0000390819)
Enumeration Date2022-11-14
Last Update Date2022-11-14
Business Address
WANDA LAVINA JACKSON
4441 AUBURN BLVD STE E
SACRAMENTO, CA 95841-4139
Phone number: 916-473-5764
Mailing Address
WANDA LAVINA JACKSON
4441 AUBURN BLVD STE E
SACRAMENTO, CA 95841-4139
Phone number: 916-473-5764
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