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1992563050
RALISSA JACKSON
BILLINGS, MT
NPI
1992563050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MT 70320)
Enumeration Date
2024-03-12
Last Update Date
2024-03-12
Business Address
RALISSA JACKSON LAC
1231 N 29TH ST
BILLINGS, MT 59101-0147
Phone number: 406-248-3175
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Mailing Address
RALISSA JACKSON LAC
616 N 16TH ST
BILLINGS, MT 59101-0416
Phone number: 406-707-4479
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