Individual
JACKSON JAMES DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW,CSW,TRS,CTRS,
Contact information
Practice address
65 N 1150 W, HURRICANE, UT 84737-2062
(435) 879-7677
Mailing address
5500 MING AVE STE 410, BAKERSFIELD, CA 93309-4631
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
122624373502
UT
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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