person
Mrs. Melissa M Mouton-jackson
Addiction (Substance Use Disorder) Counselor in Los Angeles, California
NPI 1073026894

Melissa M Mouton-jackson is an Addiction (Substance Use Disorder) Counselor based in Los Angeles, CA and is specialized in Addiction (Substance Use Disorder). Melissa M Mouton-jackson practices in Los Angeles, CA. The NPI Number for Melissa M Mouton-jackson is 1073026894 and holds a License No. (California).

The current practice location address for Melissa M Mouton-jackson is 2118 S Central Ave, Los Angeles, CA and can be reached out via phone at 213-493-4664 and via fax at 213-493-4665.

Location: 2118 S Central Ave, Los Angeles, CA, 90011-1237
person
Provider Profile Details
NPI Number
1073026894
Provider Name
Melissa M Mouton-jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2118 S Central Ave, Los Angeles, CA, 90011-1237
Phone Number
213-493-4664
Fax Number
213-493-4665
Provider Enumeration Date
11/15/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2118 S Central Ave
City
State
Zip
90011-1237
Phone Number
213-493-4664
Fax Number
213-493-4665
person
Provider Business Mailing Address Details
Address
2118 S Central Ave
City
State
Zip
90011-1237
Phone Number
213-493-4664
Fax Number
213-493-4665
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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