JERRY LOUIS JACKSON

LOS ANGELES, CA
NPI1083097901
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
Enumeration Date2015-07-09
Last Update Date2018-01-12
Business Address
JERRY LOUIS JACKSON
801 W 70TH ST
LOS ANGELES, CA 90044-5218
Phone number: 323-242-5000
Mailing Address
JERRY LOUIS JACKSON
801 W 70TH ST
LOS ANGELES, CA 90044-5218
Phone number: 323-242-5000