Individual provider · Type 1 NPI

Ladale B. Jackson Ii

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1942993795 Active

Practice location

5723 Whittier Blvd
Los Angeles, CA 90022-4222

Call (323) 721-6855 Map

Mailing address

5231 Roseland St Apt 4
Los Angeles, CA 90016-3459

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1942993795

Ladale B. Jackson Ii's National Provider Identifier is 1942993795, issued on May 30, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on May 30, 2023.