Ralissa Jackson, LAC

NPI #1992563050 in Billings, Montana

Provider Information

NPI Number: 1992563050
Entity Type: Individual
Name: Ralissa Jackson, LAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LAC
Enumeration Date: Mar 12, 2024
Last Updated: Mar 12, 2024

Practice Location

Address: 1231 N 29TH ST
City: Billings
State: Montana
ZIP Code: 59101-0147
Phone: (406) 248-3175

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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