Leo B Jackson is a Counselor in Los Angeles, California. Leo B Jackson practices all healthcare services and medical treatments related to Counselor. The NPI Number for Leo B Jackson is 1154524585. The last update date is 2007-07-08.
Leo B Jackson's current location address is 3756 Santa Rosalia Dr Ste 507, Los Angeles, California. You can contact this provider via phone number 3232902001 and fax number 3232092003. The mailing address for Leo B Jackson is 3756 Santa Rosalia Dr Ste 507, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leo B Jackson |
|---|---|
| Address | 3756 Santa Rosalia Dr Ste 507, Los Angeles, California |
| Phone Number | 3232902001 |
| Fax Number | 3232092003 |
| Sole Proprietor | Y |
| Credentials | CCDC |
NPI Number Detail
| NPI Number | 1154524585 |
|---|---|
| Provider Enumeration Date | 2007-06-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3756 Santa Rosalia Dr Ste 507 |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900083656 |
| Phone Number | 3232902001 |
| Fax Number | 3232092003 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
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Definition: 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 supe |
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Post Comment/ Review Below
What is the Leo B Jackson's unique identification number?
The Leo B Jackson has been assigned the NPI (National Provider Identifier) Number 1154524585 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Leo B Jackson's physical address?
The Leo B Jackson is physically located at 3756 Santa Rosalia Dr Ste 507, in the city of Los Angeles, CA, with the postal code 900083656.
What is Leo B Jackson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Leo B Jackson is Counselor, and the taxonomy code that classifies this field of practice is 101Y00000X.
On what date was the 1154524585 assigned to Leo B Jackson?
The Leo B Jackson was issued its 1154524585 on 2007-06-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Leo B Jackson's information last updated?
The Leo B Jackson's information was last updated on 2007-07-08.