Individual provider · Type 1 NPI

Brandon Jackson, RECOVERY PRACTIONER

Rehabilitation Practitioner · Los Angeles, CA

NPI number 1457994634 Active

Practice location

1873 W 54th St
Los Angeles, CA 90062-2604

Call (562) 794-7892 Map

Fax (310) 349-3660

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1457994634

Brandon Jackson, RECOVERY PRACTIONER's National Provider Identifier is 1457994634, issued on Oct 21, 2019. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 21, 2019.