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Individual

MS. ZENA AUSET ZECHARIAH DIANE JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CADC CCAR, CRPA

Contact information

Practice address
104 DAVIES DR, YORK, PA 17402-8605
(717) 840-2300
Mailing address
965 LOUCKS RD # 1008, YORK, PA 17404-2201
(631) 530-7877

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19676
PA

Other

Enumeration date
10/16/2017
Last updated
01/25/2024
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