LEE E JACKSON

DESOTO, TX
NPI1891368668
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  13217)
Enumeration Date2021-07-20
Last Update Date2021-07-20
Business Address
LEE E JACKSON
1229 E PLEASANT RUN RD STE 200
DESOTO, TX 75115-4214
Phone number: 972-226-4261
Mailing Address
LEE E JACKSON
1229 E PLEASANT RUN RD STE 200
DESOTO, TX 75115-4214
Phone number:
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