Search › Arizona › Child Mental Illness Respite Care
Jessie Jackson
NPI 1104908417 · on the registry since 2006 · sole proprietor
Practice
- Address
- 9855 E Irvington Rd
Unit #82
Tucson, AZ 85730 - Phone
- (520) 733-1165
- Fax
- (520) 733-1165
Registry record
- Primary taxonomy
- Child Mental Illness Respite Care
385HR2055X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona