MATTHEW ADRIAN JACKMAN

SALT LAKE CITY, UT
NPI1891071973
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2011-11-02
Last Update Date2011-11-02
Business Address
-- MATTHEW ADRIAN JACKMAN
447 BEARCAT DR
SALT LAKE CITY, UT 84115-2519
Phone number: 801-355-2846
Mailing Address
-- MATTHEW ADRIAN JACKMAN
447 BEARCAT DR
SALT LAKE CITY, UT 84115-2519
Phone number: 801-355-2846
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