Individual provider · Type 1 NPI

Randi Marie Jackson, ASW

Mental Health Counselor · Los Angeles, CA

NPI number 1548832199 Active

Practice location

4401 Crenshaw Blvd
Los Angeles, CA 90043-1227

Call (323) 290-8360 Map

Mailing address

3031 S Vermont Ave
Los Angeles, CA 90007-3033

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1548832199

Randi Marie Jackson, ASW's National Provider Identifier is 1548832199, issued on Jul 13, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Los Angeles, CA. The record was last updated on Dec 9, 2021.