Jeremiah Rashad Jackson
Jeremiah Rashad Jackson is a Community/Behavioral Health Agency in Surprise, Arizona. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
14253 W Aster DrSurprise, AZ 85379-5505
Phone: (205) 420-8155
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Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1588315980 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 17, 2022 |
| Last updated in NPPES | January 17, 2022 |
| Certification date | January 17, 2022 |
| Mailing address | 14253 W Aster Dr, Surprise, AZ 85379-5505 |
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