Individual
JEROME ESTER JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3838 N WEST AVE, FRESNO, CA 93705-2703
(559) 307-3482
(559) 294-0303
Mailing address
2515 MAGNOLIA AVE, CLOVIS, CA 93611-8947
(559) 307-3482
(559) 294-0303
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
10/06/2009
Last updated
10/06/2009
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