Individual provider · Type 1 NPI

Ryan C. Jackson

Mental Health Counselor · Santa Fe Springs, CA

NPI number 1821765439 Active

Practice location

11721 Telegraph Rd
Santa Fe Springs, CA 90670-3674

Mailing address

2902 W 78th St
Inglewood, CA 90305-1020

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1821765439

Ryan C. Jackson's National Provider Identifier is 1821765439, issued on Aug 23, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Santa Fe Springs, CA. The record was last updated on Aug 23, 2021.