EMILY JACKSON

RAPID CITY, SD
NPI1952157984
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: SD  17091765)
Enumeration Date2024-04-29
Last Update Date2024-04-29
Business Address
EMILY JACKSON LAC
308 QUINCY ST
RAPID CITY, SD 57701-2813
Phone number: 605-391-4863
Mailing Address
EMILY JACKSON LAC
308 QUINCY ST
RAPID CITY, SD 57701-2813
Phone number: 605-391-4863
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