BRIAN A JACKSON

MEDFORD, OR
NPI1841651007
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-03-16
Last Update Date2018-08-23
Business Address
BRIAN A JACKSON CADC I
1025 E MAIN ST
MEDFORD, OR 97504
Phone number: 541-779-1282
Mailing Address
BRIAN A JACKSON CADC I
1003 E MAIN ST STE 104
MEDFORD, OR 97504-7140
Phone number: 541-779-1282
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