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 Date2025-10-06
Business Address
EMILY JACKSON LAC
340 MIDDLE VALLEY DR
RAPID CITY, SD 57701-2381
Phone number: 605-430-9197
Mailing Address
EMILY JACKSON LAC
340 MIDDLE VALLEY DR
RAPID CITY, SD 57701-2381
Phone number: