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Mr. Leo B Jackson, CCDC
Counselor in Los Angeles, California
NPI 1154524585

Leo B Jackson is a Counselor based in Los Angeles, CA. Leo B Jackson practices in Los Angeles, CA and has the professional credentials of CCDC. The NPI Number for Leo B Jackson is 1154524585 and holds a License No. (California).

The current practice location address for Leo B Jackson is 3756 Santa Rosalia Dr Ste 507, Los Angeles, CA and can be reached out via phone at 323-290-2001 and via fax at 323-209-2003.

Location: 3756 Santa Rosalia Dr Ste 507, Los Angeles, CA, 90008-3656
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154524585
Provider Name
Leo B Jackson
Credential
CCDC
Provider Entity Type
Individual
Gender
Male
Address
3756 Santa Rosalia Dr Ste 507, Los Angeles, CA, 90008-3656
Phone Number
323-290-2001
Fax Number
323-209-2003
Provider Enumeration Date
06/05/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3756 Santa Rosalia Dr Ste 507
City
Los Angeles
State
California
Zip
90008-3656
Phone Number
323-290-2001
Fax Number
323-209-2003
person
Provider Business Mailing Address Details
Address
3756 Santa Rosalia Dr Ste 507
City
Los Angeles
State
California
Zip
90008-3656
Phone Number
323-290-2001
Fax Number
323-209-2003
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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