DARRELL JACKSON
Individual Provider (NPI-1)
Active
Community/Behavioral Health
Provider Information
- NPI Number
1144850249- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 357 W TROY ST, KUNA, ID, 836345002
- Phone
- (309) 648-5154
Specialties & Taxonomies
Community/Behavioral Health
Primary