HARRY LEE JACKSON

VICTORVILLE, CA
NPI1710467659
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-08-20
Last Update Date2018-08-20
Business Address
HARRY LEE JACKSON
17845 IRONWOOD LANE
VICTORVILLE, CA 92395-9239
Phone number: 760-373-6251
Mailing Address
HARRY LEE JACKSON
17845 IRONWOOD LANE SVL BOX 8205
VICTORVILLE, CA 92395
Phone number: 562-230-0737