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Lionel Dewayne Jackson
Counselor in Los Angeles, California
NPI 1154836146

Lionel Dewayne Jackson is a Counselor based in Los Angeles, CA. Lionel Dewayne Jackson practices in Los Angeles, CA. The NPI Number for Lionel Dewayne Jackson is 1154836146 and holds a License No. (California).

The current practice location address for Lionel Dewayne Jackson is 600 St Paul Ave Ste 200, Los Angeles, CA and can be reached out via phone at 213-482-6400.

Location: 600 St Paul Ave Ste 200, Los Angeles, CA, 90017-5686
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154836146
Provider Name
Lionel Dewayne Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
600 St Paul Ave Ste 200, Los Angeles, CA, 90017-5686
Phone Number
213-482-6400
Fax Number
Provider Enumeration Date
12/12/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
600 St Paul Ave Ste 200
City
Los Angeles
State
California
Zip
90017-5686
Phone Number
213-482-6400
Fax Number
person
Provider Business Mailing Address Details
Address
600 St Paul Ave Ste 200
City
Los Angeles
State
California
Zip
90017-5686
Phone Number
213-482-6400
Fax Number
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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