| NPI | 1831412493 |
|---|---|
| Professional Name | MALINDA D JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1524) |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2010-11-12 |