BRYON D JACKSON

LOS ANGELES, CA
NPI1124366133
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-01-25
Last Update Date2013-01-25
Business Address
-- BRYON D JACKSON CAARR
5930 S MAIN ST #104
LOS ANGELES, CA 90003-1284
Phone number: 323-372-5900
Mailing Address
-- BRYON D JACKSON CAARR
5930 S. MAIN STREET #104
LOS ANGELES, CA 90003
Phone number: 323-372-5900
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