SAMANTHA NAILAH MITCHELLE JACKSON

CARSON, CA
NPI1720653603
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  ACSW102031)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: CA  102031)
104100000X Social Worker
(Licence: CA  ACSW102031)
Enumeration Date2021-05-24
Last Update Date2022-08-10
Business Address
SAMANTHA NAILAH MITCHELLE JACKSON
649 E ALBERTONI ST STE 100
CARSON, CA 90746-1538
Phone number: 310-436-9300
Mailing Address
SAMANTHA NAILAH MITCHELLE JACKSON
649 E ALBERTONI ST STE 100
CARSON, CA 90746-1538
Phone number: 310-436-9300