LEONTYNE JACKSON

RICHMOND, CA
NPI1942476866
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2008-04-30
Last Update Date2008-04-30
Business Address
-- LEONTYNE JACKSON
84 BROADWAY
RICHMOND, CA 94804-1910
Phone number: 510-231-7812
Mailing Address
-- LEONTYNE JACKSON
84 BROADWAY
RICHMOND, CA 94804-1910
Phone number: 510-231-7812
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