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1770059040
NATASHA JACKSON
GREENVILLE, NC
NPI
1770059040
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NC 23120)
Enumeration Date
2018-10-15
Last Update Date
2018-10-15
Business Address
NATASHA JACKSON LCAS-A
1302 WILLOW ST
GREENVILLE, NC 27858-1405
Phone number: 252-508-2173
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Mailing Address
NATASHA JACKSON LCAS-A
1302 WILLOW ST
GREENVILLE, NC 27858-1405
Phone number: 252-508-2173
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