person
Ms. Willye Dorethea Jackson, MSW
Mental Health Counselor in Los Angeles, California
NPI 1154440287

Willye Dorethea Jackson is a Mental Health Counselor based in Los Angeles, CA and is specialized in Mental Health. Willye Dorethea Jackson practices in Los Angeles, CA and has the professional credentials of MSW. The NPI Number for Willye Dorethea Jackson is 1154440287 and holds a License No. ASW23815 (California).

The current practice location address for Willye Dorethea Jackson is 439 W 97Th St, Los Angeles, CA and can be reached out via phone at 323-754-2856 and via fax at 323-754-1843.

Location: 439 W 97Th St, Los Angeles, CA, 90003-3968
person
Provider Profile Details
NPI Number
1154440287
Provider Name
Willye Dorethea Jackson
Credential
MSW
Provider Entity Type
Individual
Gender
Female
Address
439 W 97Th St, Los Angeles, CA, 90003-3968
Phone Number
323-754-2856
Fax Number
323-754-1843
Provider Enumeration Date
03/28/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
439 W 97Th St
City
State
Zip
90003-3968
Phone Number
323-754-2856
Fax Number
323-754-1843
person
Provider Business Mailing Address Details
Address
439 W 97Th St
City
State
Zip
90003-3968
Phone Number
323-754-2856
Fax Number
323-754-1843
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
ASW23815 (California)
Definition
Definition to come...
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