MELISSA M MOUTON-JACKSON

LOS ANGELES, CA
NPI1073026894
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-11-15
Last Update Date2017-11-15
Business Address
Mrs. MELISSA M MOUTON-JACKSON
2118 S CENTRAL AVE
LOS ANGELES, CA 90011-1237
Phone number: 213-493-4664
Mailing Address
Mrs. MELISSA M MOUTON-JACKSON
2118 S CENTRAL AVE
LOS ANGELES, CA 90011-1237
Phone number: 213-493-4664
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