Individual
ERYKA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
516 WEST 5TH STREET, CHESTER, PA 19013
(610) 509-3665
Mailing address
516 W 5TH ST, CHESTER, PA 19013-4116
(610) 509-3665
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/28/2015
Last updated
12/28/2015
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