person
Carnell Jackson II
Addiction (Substance Use Disorder) Counselor in Los Angeles, California
NPI 1366631590

Carnell Jackson II is an Addiction (Substance Use Disorder) Counselor based in Los Angeles, CA and is specialized in Addiction (Substance Use Disorder). Carnell Jackson II practices in Los Angeles, CA. The NPI Number for Carnell Jackson II is 1366631590 and holds a License No. (California).

The current practice location address for Carnell Jackson II is 2918 W Vernon Ave, Los Angeles, CA and can be reached out via phone at 323-497-8150 and via fax at 323-292-5543.

Location: 2918 W Vernon Ave, Los Angeles, CA, 90008-4757
person
Provider Profile Details
NPI Number
1366631590
Provider Name
Carnell Jackson II
Credential
Provider Entity Type
Individual
Gender
Male
Address
2918 W Vernon Ave, Los Angeles, CA, 90008-4757
Phone Number
323-497-8150
Fax Number
323-292-5543
Provider Enumeration Date
10/24/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2918 W Vernon Ave
City
State
Zip
90008-4757
Phone Number
323-497-8150
Fax Number
323-292-5543
person
Provider Business Mailing Address Details
Address
2918 W Vernon Ave
City
State
Zip
90008-4757
Phone Number
323-497-8150
Fax Number
323-292-5543
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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