Individual provider · Type 1 NPI
Dwaine Jackson
Counselor · Compton, CA
NPI number
1205249000
Active
Practice location
1500 E Kay St
Compton, CA 90221-1752
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None 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 1205249000
Dwaine Jackson's National Provider Identifier is 1205249000, issued on Jun 9, 2014. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Compton, CA. The record was last updated on Jun 9, 2014.