STANFORD JACKSON

LONG BEACH, CA
NPI1154668671
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  123332 II)
Enumeration Date2013-01-04
Last Update Date2013-01-04
Business Address
-- STANFORD JACKSON CATCII
2008 PACIFIC AVE
LONG BEACH, CA 90806-4610
Phone number: 562-591-0011
Mailing Address
-- STANFORD JACKSON CATCII
1763 PINE AVE
LONG BEACH, CA 90813-1823
Phone number: 562-253-6594
Similar providers in Long Beach, CA
WEST COAST HEALTHY LIVING CENTER
ELENA BECERRA
CHANEL SAMANTHA SIMPSON
JUSTIN AGUINALDO
TAFARI C RICHARDS
MARY M. SIMMS
LOVESEAT FAMILY COUNSELING, INC.
CONSUELO LINK
STACEY L PROTHRO
ARCELIA CASTANEDA