Individual
JAMES JACKSON I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1773 W SAINT MARYS RD, TUCSON, AZ 85745-2654
(520) 883-1898
Mailing address
1773 W SAINT MARYS RD, TUCSON, AZ 85745-2654
(520) 883-1898
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC1463
AZ
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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