WILLIE LEE JACKSON JR.
NPI 1013143395
Counselor - Addiction (Substance Use Disorder) in Los Angeles, CA
About Willie Lee Jackson Jr. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLIE LEE JACKSON JR. (NPI 1013143395) is an individual addiction (substance use disorder) provider in Los Angeles, California and active in the NPI registry since June 2009.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90008
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Willie Jackson's NPI number?
The NPI number for Willie Jackson is 1013143395. It was assigned to this individual provider in the NPPES registry on June 1, 2009.
Where is Willie Jackson located?
Willie Jackson practices at 157 Santa Barbara Plz, Los Angeles, CA 90008. The listed phone number is (323) 293-2717.
What is Willie Jackson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
When was this NPI record last updated?
The NPPES record for Willie Jackson was last updated on June 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.