GABRIELLE JACKSON

SANTA ROSA, CA
NPI1932563079
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-04-05
Last Update Date2018-02-22
Business Address
GABRIELLE JACKSON
2300 NORTHPOINT PKWY
SANTA ROSA, CA 95407-5004
Phone number: 707-571-5581
Mailing Address
GABRIELLE JACKSON
2300 NORTHPOINT PKWY
SANTA ROSA, CA 95407-5004
Phone number: 707-571-5581
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