BRYAN EDWARD JACKSON

SAN FRANCISCO, CA
NPI1942351671
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  jo412151224)
Enumeration Date2007-01-16
Last Update Date2007-07-08
Business Address
Mr. BRYAN EDWARD JACKSON briening
1001 POTRERO AVE
SAN FRANCISCO, CA 94110-3518
Phone number: 415-206-4288
Mailing Address
Mr. BRYAN EDWARD JACKSON briening
2223 LYNBROOK DR
PITTSBURG, CA 94565-5303
Phone number: 925-565-9348
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