Jessie R Jackson
Jessie R Jackson is a Child Mental Illness Respite Care in Tucson, Arizona. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2006
Practice location Address checks out
9855 E Irvington Rd Unit #82Tucson, AZ 85730-5220
Phone: (520) 733-1165
Fax: (520) 733-1165
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Specialties & licences
| Child Mental Illness Respite Care (primary) | Taxonomy 385HR2055X · Licence 3923 (AZ) |
|---|
Record details
| NPI number | 1104908417 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 19, 2006 |
| Last updated in NPPES | July 9, 2007 |
| Mailing address | 9855 E Irvington Rd, Unit #82, Tucson, AZ 85730-5220 |
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