BETHENA M JACKSON

DURHAM, NC
NPI1881930006
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NC  2421)
Enumeration Date2012-12-15
Last Update Date2012-12-15
Business Address
MS. BETHENA M JACKSON CSAC, LCAS-A
2604 CARVER ST SUITE C
DURHAM, NC 27705-2796
Phone number: 919-682-4771
Mailing Address
MS. BETHENA M JACKSON CSAC, LCAS-A
2109 PEAR TREE LN
DURHAM, NC 27703-6280
Phone number: 919-633-8360
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