PHILIP JACKSON

LOS ANGELES, CA
NPI1003597071
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-07-31
Last Update Date2023-07-31
Business Address
PHILIP JACKSON
360 S WESTLAKE AVE
LOS ANGELES, CA 90057-2906
Phone number: 213-483-9201
Mailing Address
PHILIP JACKSON
360 S WESTLAKE AVE
LOS ANGELES, CA 90057-2906
Phone number: 213-483-9201
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