person
Willie Lee Jackson JR.
Addiction (Substance Use Disorder) Counselor in Los Angeles, California
NPI 1013143395

Willie Lee Jackson JR. is an Addiction (Substance Use Disorder) Counselor based in Los Angeles, CA and is specialized in Addiction (Substance Use Disorder). Willie Lee Jackson JR. practices in Los Angeles, CA. The NPI Number for Willie Lee Jackson JR. is 1013143395 and holds a License No. (California).

The current practice location address for Willie Lee Jackson JR. is 157 Santa Barbara Plz, Los Angeles, CA and can be reached out via phone at 323-293-2717.

Location: 157 Santa Barbara Plz, Los Angeles, CA, 90008-2508
person
Provider Profile Details
NPI Number
1013143395
Provider Name
Willie Lee Jackson JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
157 Santa Barbara Plz, Los Angeles, CA, 90008-2508
Phone Number
323-293-2717
Fax Number
Provider Enumeration Date
06/01/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
157 Santa Barbara Plz
City
State
Zip
90008-2508
Phone Number
323-293-2717
Fax Number
person
Provider Business Mailing Address Details
Address
157 Santa Barbara Plz
City
State
Zip
90008-2508
Phone Number
323-293-2717
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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