Individual
MS. ALICIA L. JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
445 3RD AVE SW, ALBANY, OR 97321-2272
(541) 967-3866
(541) 926-6271
Mailing address
445 3RD AVE SW, P.O. BOX 100, ALBANY, OR 97321-2272
(541) 967-3866
(541) 926-6271
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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