Individual provider · Type 1 NPI

Willie Lee Jackson Jr.

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1013143395 Active

About NPI 1013143395

Willie Lee Jackson Jr.'s National Provider Identifier is 1013143395, issued on Jun 1, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 1, 2009.