WILLIAM ROLAND JACKSON

FRESNO, CA
NPI1912231721
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2009-09-25
Last Update Date2009-09-25
Business Address
-- WILLIAM ROLAND JACKSON
2772 S. MLK BLVD.
FRESNO, CA 93706-5345
Phone number: 559-265-4800
Mailing Address
-- WILLIAM ROLAND JACKSON
5571 W HOLLAND AVE
FRESNO, CA 93722-3758
Phone number: 559-276-3559
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