FATEMA JACKSON

OAKLAND, CA
NPI1861925281
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-04-04
Last Update Date2017-04-04
Business Address
-- FATEMA JACKSON
9442 INTERNATIONAL BLVD
OAKLAND, CA 94603-1444
Phone number: 510-777-8448
Mailing Address
-- FATEMA JACKSON
9442 INTERNATIONAL BLVD
OAKLAND, CA 94603-1444
Phone number:
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