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1740411636
MICHELE DENISE JACKSON
OAKLAND, CA
NPI
1740411636
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RI-J808181554)
Enumeration Date
2009-07-27
Last Update Date
2009-07-27
Business Address
Ms. MICHELE DENISE JACKSON RI-J0808181554
10700 MACARTHUR BLVD STE 12
OAKLAND, CA 94605-5298
Phone number: 510-568-2432
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Mailing Address
Ms. MICHELE DENISE JACKSON RI-J0808181554
10700 MACARTHUR BLVD STE 12
OAKLAND, CA 94605-5298
Phone number: 510-568-2432
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