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
ROBERT RICHARD DIAZ
RICHARD SCOTT CALMET
JINNA CHUNG
SKYCARE CUIDADO DEL CIELO LLC
LAURA ANN MITCHELL
CHRISTINA STEPHENITCH
DYLAN RICHARDSON
MURDICE MARIE SMITH
STAR VIEW COMUNITY SERVICES
TRACY LEE WEST