Individual provider · Type 1 NPI

Bryon D. Jackson, CAARR

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

NPI number 1124366133 Active

Practice location

5930 S Main St, #104
Los Angeles, CA 90003-1284

Call (323) 372-5900 Map

Mailing address

5930 S. Main Street, #104
Los Angeles, CA 90003

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1124366133

Bryon D. Jackson, CAARR's National Provider Identifier is 1124366133, issued on Jan 25, 2013. 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 Jan 25, 2013.