Individual
RASHEEDA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHS, CRS, CMA
Contact information
Practice address
117 ROSEMAR ST, PHILADELPHIA, PA 19120-1922
(267) 475-9881
Mailing address
117 ROSEMAR ST, PHILADELPHIA, PA 19120-1922
(267) 475-9881
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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