Jeanmarie Jackson CADC II

NPI 1386865368 - Counselor - 101YA0400X

NPI Details
NPI 1386865368
Gender Female
Enumeration Date 05/01/2007
Last Updated 07/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3125 E 7TH ST
LONG BEACH CA, 90804-4932, US
Phone (562) 987-5742
Fax (562) 987-2488
Business Location
3125 E 7TH ST
LONG BEACH CA, 90804-4932, US
Phone (562) 987-5742
Fax (562) 987-2488
Toxanomy
Taxonomy Code 101YA0400X
License State California
License Number A8496306
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According to our database, Mrs. Jeanmarie Jackson CADC II NPI is 1386865368, taxonomy code is 101YA0400X and license number is A8496306, license state is located at California. Jeanmarie Jackson CADC II physically located at 3125 E 7th St, Long Beach CA, 90804-4932. NPI Number Jeanmarie Jackson CADC II has the Individual type.

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1386865368 NPI number is provided on an as is basis without warranty of any kind. 1386865368 is maintained by the National Plan & Provider Enumeration System. The contents of Jeanmarie Jackson CADC II are for informational purposes only.