ANGELO JACKSON

LOS ANGELES, CA
NPI1467785345
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2009-09-10
Last Update Date2009-09-10
Business Address
-- ANGELO JACKSON
11905 S CENTRAL AVE SUITE 205
LOS ANGELES, CA 90059-2836
Phone number: 323-249-9026
Mailing Address
-- ANGELO JACKSON
11905 S CENTRAL AVE SUITE 205
LOS ANGELES, CA 90059-2836
Phone number: 323-249-9026
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