Individual provider · Type 1 NPI

Leo B. Jackson, CCDC

Counselor · Los Angeles, CA

NPI number 1154524585 Active

Practice location

3756 Santa Rosalia Dr Ste 507
Los Angeles, CA 90008-3656

Call (323) 290-2001 Map

Fax (323) 209-2003

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: 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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About NPI 1154524585

Leo B. Jackson, CCDC's National Provider Identifier is 1154524585, issued on Jun 5, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 8, 2007.