Carnell Jackson in Los Angeles - Addiction (substance Use Disorder)
Carnell Jackson - NPI 1366631590
Carnell Jackson is a Addiction (substance Use Disorder) in Los Angeles, California. Carnell Jackson practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Carnell Jackson is 1366631590. The last update date is 2007-10-24.
Carnell Jackson's current location address is 2918 W Vernon Ave, Los Angeles, California. You can contact this provider via phone number 3234978150 and fax number 3232925543. The mailing address for Carnell Jackson is 2918 W Vernon Ave, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carnell Jackson |
|---|---|
| Address | 2918 W Vernon Ave, Los Angeles, California |
| Phone Number | 3234978150 |
| Fax Number | 3232925543 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1366631590 |
|---|---|
| Provider Enumeration Date | 2007-10-24 |
| Last Updated Date | 2007-10-24 |
Provider Mailing Address Detail
| Address | 2918 W Vernon Ave |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900084757 |
| Phone Number | 3234978150 |
| Fax Number | 3232925543 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Carnell Jackson by the Centers for Medicare & Medicaid Services?
The Carnell Jackson has been assigned the NPI (National Provider Identifier) 1366631590 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Carnell Jackson's facilities are situated?
The facilities of Carnell Jackson are physically located at the following address: 2918 W Vernon Ave, Los Angeles, CA, 900084757.
What is Carnell Jackson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Carnell Jackson is Addiction (substance Use Disorder), and the taxonomy code that categorizes this field of expertise is 101Ya0400X.
When did the Carnell Jackson receive its 1366631590?
The Carnell Jackson was issued its 1366631590 on 2007-10-24, which is the date when the organization was assigned this unique identifier.
When was the information regarding Carnell Jackson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Carnell Jackson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-10-24.