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Willie D Jackson
Counselor in Los Angeles, California
NPI 1447349436

Willie D Jackson is a Counselor based in Los Angeles, CA. Willie D Jackson practices in Los Angeles, CA. The NPI Number for Willie D Jackson is 1447349436 and holds a License No. (California).

The current practice location address for Willie D Jackson is 11301 Wilshire Blvd, Los Angeles, CA and can be reached out via phone at 310-468-3711 and via fax at 310-268-4765.

Location: 11301 Wilshire Blvd, Los Angeles, CA, 90073-1003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447349436
Provider Name
Willie D Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
11301 Wilshire Blvd, Los Angeles, CA, 90073-1003
Phone Number
310-468-3711
Fax Number
310-268-4765
Provider Enumeration Date
10/11/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
11301 Wilshire Blvd
City
Los Angeles
State
California
Zip
90073-1003
Phone Number
310-468-3711
Fax Number
310-268-4765
person
Provider Business Mailing Address Details
Address
11301 Wilshire Blvd
City
Los Angeles
State
California
Zip
90073-1003
Phone Number
310-468-3711
Fax Number
310-268-4765
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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