Byron Jackson
Byron Jackson is a Community/Behavioral Health Agency in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2020
Practice location Address checks out
3101 N Central Ave # 220BPhoenix, AZ 85012-2645
Phone: (602) 920-2791
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X (AZ) |
|---|
Record details
| NPI number | 1225667264 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 2, 2020 |
| Last updated in NPPES | April 2, 2020 |
| Certification date | April 2, 2020 |
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