MICHAEL L JACKSON

PASADENA, CA
NPI1740478155
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  MFC 16923)
Enumeration Date2007-10-10
Last Update Date2007-10-10
Business Address
-- MICHAEL L JACKSON MFT
448 S MARENGO AVE
PASADENA, CA 91101-3113
Phone number: 626-585-9146
Mailing Address
-- MICHAEL L JACKSON MFT
448 S MARENGO AVE
PASADENA, CA 91101-3113
Phone number: 626-585-9146
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