CRYSTAL AMBER JACKSON

SANTA MARIA, CA
NPI1821729880
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  15788-RAC)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1452921221)
Enumeration Date2022-06-21
Last Update Date2023-02-07
Business Address
CRYSTAL AMBER JACKSON
412 E TUNNELL ST
SANTA MARIA, CA 93454-4146
Phone number: 805-925-0315
Mailing Address
CRYSTAL AMBER JACKSON
135 CARMEN LN
SANTA MARIA, CA 93458-7729
Phone number: 805-332-4568