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1992939508
ANN C JACKSON
LOS ANGELES, CA
NPI
1992939508
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-05-11
Last Update Date
2015-04-28
Business Address
-- ANN C JACKSON
333 S CENTRAL AVE
LOS ANGELES, CA 90013-1724
Phone number: 213-625-5009
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Mailing Address
-- ANN C JACKSON
27 N BONNIE AVE
PASADENA, CA 91106-2101
Phone number: 626-533-3862
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