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1881809291
TINA E JACKSON
SACRAMENTO, CA
NPI
1881809291
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA C034980715)
Enumeration Date
2007-05-11
Last Update Date
2021-10-26
Business Address
Mrs. TINA E JACKSON RAS
1001 GRAND AVE
SACRAMENTO, CA 95838-3512
Phone number: 916-929-6103
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Mailing Address
Mrs. TINA E JACKSON RAS
749 CALICO WAY
OAKLEY, CA 94561-3017
Phone number: 925-679-3296
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