DAVID JACKSON

LAKEWOOD, WA
NPI1730723172
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-10-29
Last Update Date2019-10-29
Business Address
DAVID JACKSON
9720 S TACOMA WAY
LAKEWOOD, WA 98499-4456
Phone number: 253-304-7753
Mailing Address
DAVID JACKSON
15 OREGON AVE STE 308
TACOMA, WA 98409-7462
Phone number: 253-304-7753