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1811377161
JENNIFER R JACKSON
PHOENIX, AZ
NPI
1811377161
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LAC-15286)
Enumeration Date
2015-06-02
Last Update Date
2023-12-29
Business Address
JENNIFER R JACKSON LAC
2102 W BETHANY HOME RD
PHOENIX, AZ 85015-1935
Phone number: 602-774-4745
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Mailing Address
JENNIFER R JACKSON LAC
2201 W BETHANY HOME RD
PHOENIX, AZ 85015-1939
Phone number: 602-774-4745
Copy
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