Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WILLIE LEE JACKSON JR.
Active Sole ProprietorWILLIE LEE JACKSON JR. is a Addiction (Substance Use Disorder) Counselor healthcare provider located in LOS ANGELES, California. NPI 1013143395 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · LOS ANGELES, CA
Registration Details
- NPI Number
- 1013143395
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 1, 2009 (17.203550460213 yrs)
- Last Updated
- Jun 1, 2009
- Sole Proprietor
- Yes
Practice Information
- Address
-
157 SANTA BARBARA PLZLOS ANGELES, CA, 900082508Browse CA providers · Browse ZIP 90008
- Phone
- 3232932717
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in LOS ANGELES, CA
| Name | Credential | NPI |
|---|---|---|
| LISA MARIE VARTANIAN | PH.D, M.F.T | 1366462509 |
| BRANDON ADAM GAINES | M.S.O.M, LAC | 1295759199 |
| MR. GREGORY REMON CAIN SR. | — | 1093800930 |
| JAMES HOWARD ROWE | CADC-NCAC | 1356423693 |
| MR. JOSEPH C MCNEALEY | — | 1710064019 |
| HYUN KYU KIM | — | 1629156567 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.