LA TINA MONIQUE JACKSON

GRANADA HILLS, CA
NPI1144395658
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: CA  LCS 23512)
Enumeration Date2006-11-21
Last Update Date2009-02-09
Business Address
MS. LA TINA MONIQUE JACKSON LCSW
10605 BALBOA BLVD SUITE 100
GRANADA HILLS, CA 91344-6342
Phone number: 818-832-2400
Mailing Address
MS. LA TINA MONIQUE JACKSON LCSW
10515 BALBOA BLVD STE 376
GRANADA HILLS, CA 91344-6397
Phone number: 818-488-3837
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