KELLIE JACKSON

PASADENA, CA
NPI1538604673
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: CA  112050)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: CA  112050)
225400000X Rehabilitation Practitioner
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-12-28
Last Update Date2023-06-23
Business Address
KELLIE JACKSON
100 W WALNUT ST STE 375
PASADENA, CA 91124-0001
Phone number: 626-395-7100
Mailing Address
KELLIE JACKSON
100 W WALNUT ST STE 375
PASADENA, CA 91124-0001
Phone number: 626-395-7100