Darrell Jackson
Darrell Jackson is a Community/Behavioral Health Agency in Kuna, Idaho. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
357 W Troy StKuna, ID 83634-5002
Phone: (309) 648-5154
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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 |
|---|
Record details
| NPI number | 1144850249 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 17, 2020 |
| Last updated in NPPES | January 17, 2020 |
| Certification date | January 17, 2020 |
| Mailing address | 357 W Troy St, Kuna, ID 83634-5002 |
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