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MRS. MELISSA M MOUTON-JACKSON
NPI 1073026894
Counselor - Addiction (Substance Use Disorder) in Los Angeles, CA

Active since November 15, 2017
2118 S CENTRAL AVE, LOS ANGELES, CA 90011(213) 493-4664(213) 493-4665 Get Directions Write a Review

NPPES record last updated: November 15, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Melissa M Mouton-jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MELISSA M MOUTON-JACKSON (NPI 1073026894) is an individual addiction (substance use disorder) provider in Los Angeles, California and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1073026894
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. MELISSA M MOUTON-JACKSON
Location Address2118 S CENTRAL AVELos Angeles, CA 90011-1237
Mailing Address2118 S Central AveLos Angeles, CA 90011-1237 · (213) 493-4664 · Fax (213) 493-4665
Phone(213) 493-4664
Fax(213) 493-4665
Sole ProprietorNo
Enumeration DateNovember 15, 2017
✔ NPI 1073026894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
2118 S CENTRAL AVE, Los Angeles, CA 90011
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CENTRAL MEDICAL CLINIC INC
Internal Medicine
2118 S CENTRAL AVE
LOS ANGELES, CA 90011
Los Angeles County (213) 493-4664

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 Melissa Mouton-jackson's NPI number?

The NPI number for Melissa Mouton-jackson is 1073026894. It was assigned to this individual provider in the NPPES registry on November 15, 2017.

Where is Melissa Mouton-jackson located?

Melissa Mouton-jackson practices at 2118 S Central Ave, Los Angeles, CA 90011. The listed phone number is (213) 493-4664.

What is Melissa Mouton-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 Melissa Mouton-jackson was last updated on November 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.