TAYDAMA JACKSON

SACRAMENTO, CA
NPI1790173839
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-12-23
Last Update Date2015-01-02
Business Address
-- TAYDAMA JACKSON RRW
4441 AUBURN BLVD SUITE E
SACRAMENTO, CA 95841-4139
Phone number: 916-395-3552
Mailing Address
-- TAYDAMA JACKSON RRW
4441 AUBURN BLVD SUITE E
SACRAMENTO, CA 95841-4139
Phone number: 916-395-3552
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