ALONZO JACKSON

AUSTIN, TX
NPI1720225113
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  9841)
Enumeration Date2009-01-07
Last Update Date2009-01-07
Business Address
Mr. ALONZO JACKSON LCDC
1643 E 2ND ST
AUSTIN, TX 78702-4411
Phone number: 512-472-4357
Mailing Address
Mr. ALONZO JACKSON LCDC
1430 COLLIER ST
AUSTIN, TX 78704-2911
Phone number: 512-445-7787
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