CARNELL JACKSON

LOS ANGELES, CA
NPI1366631590
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-10-24
Last Update Date2007-10-24
Business Address
-- CARNELL JACKSON
2918 W VERNON AVE
LOS ANGELES, CA 90008-4757
Phone number: 323-497-8150
Mailing Address
-- CARNELL JACKSON
2918 W VERNON AVE
LOS ANGELES, CA 90008-4757
Phone number: 323-497-8150
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