Member Information
Name
First Name: Mary
Middle Name(s): Elizabeth
Last Name: Jackson
Commonly Used Name in Practice
Commonly Used First Name in Practice: Mary
Commonly Used Last Name in Practice: Jackson
Previous Names
First Name
Middle Name(s)
Last Name
MaryElizabethBlair
Language(s) of Practice
Language(s) of Practice: English
Business Address
Name of Employer
Name of Employer: The Healing Oasis Program
Business Address
Address Line 1: 320 Paling Avenue
Address Line 2:
Address Line 3:
City: Hamilton
Province, Territory, State or Not Applicable: Ontario
Postal or Zip Code: L8H 5J8
Country: Canada
Business Telephone Number
Business Telephone Number: +1 905 966-0468
Practice Sites
Practice Sites
Name of Employer: The Healing Oasis Program
Address Line 1: 320 Paling Avenue
Address Line 2:
Address Line 3:
City: Hamilton
Province, Territory, State or Not Applicable: Ontario
Postal or Zip Code: L8H 5J8
Country: Canada
Business Telephone Number: +1 905 966-0468
Registration Information
Registration Number
Registration Number: 004642
Date of Initial Registration
Date of Initial Registration: Sep 27, 2016
Registration Category
Registration Category: Registered Psychotherapist


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