Ron Jackson

NPI #1750677530 in Clearfield, Utah

Provider Information

NPI Number: 1750677530
Entity Type: Individual
Name: Ron Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Jun 21, 2011
Last Updated: Jun 21, 2011

Practice Location

Address: 446 E 450 S
City: Clearfield
State: Utah
ZIP Code: 84015-1736
Phone: (801) 779-2253

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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