Willie D Jackson in Los Angeles - Counselor
Willie D Jackson - NPI 1447349436
Willie D Jackson is a Counselor in Los Angeles, California. Willie D Jackson practices all healthcare services and medical treatments related to Counselor. The NPI Number for Willie D Jackson is 1447349436. The last update date is 2007-07-08.
Willie D Jackson's current location address is 11301 Wilshire Blvd, Los Angeles, California. You can contact this provider via phone number 3104683711 and fax number 3102684765. The mailing address for Willie D Jackson is 11301 Wilshire Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Willie D Jackson |
|---|---|
| Address | 11301 Wilshire Blvd, Los Angeles, California |
| Phone Number | 3104683711 |
| Fax Number | 3102684765 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1447349436 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11301 Wilshire Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900731003 |
| Phone Number | 3104683711 |
| Fax Number | 3102684765 |
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 Willie D Jackson's unique identification number?
The Willie D Jackson has been assigned the NPI (National Provider Identifier) Number 1447349436 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Willie D Jackson's facilities are geographically located?
The facilities of Willie D Jackson are physically situated at the following location: 11301 Wilshire Blvd, Los Angeles, CA, 900731003.
What is the area of specialization for Willie D Jackson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Willie D Jackson is Counselor, and the corresponding taxonomy code that categorizes this area of expertise is 101Y00000X.
When did Willie D Jackson receive its 1447349436 assignment?
The Willie D Jackson was assigned its 1447349436 on 2006-10-11, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Willie D Jackson most recently updated or revised?
The details related to Willie D Jackson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY