MR. LEO B JACKSON CCDC
NPI 1154524585
Counselor in Los Angeles, CA

Q: What is Leo Jackson's NPI number?

The NPI number for Leo Jackson is 1154524585. It was assigned to this individual provider in the NPPES registry on June 5, 2007.

Q: What is Leo Jackson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Leo Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since June 05, 2007

3756 SANTA ROSALIA DR STE 507, LOS ANGELES, CA 90008(323) 290-2001(323) 209-2003 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Leo B Jackson Ccdc NPPES

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

MR. LEO B JACKSON CCDC (NPI 1154524585) is an individual counselor in Los Angeles, California and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1154524585

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameMR. LEO B JACKSONCredential: CCDC

Location Address3756 SANTA ROSALIA DR STE 507Los Angeles, CA 90008-3656

Mailing Address3756 Santa Rosalia Dr Ste 507Los Angeles, CA 90008-3656 · (323) 290-2001 · Fax (323) 209-2003

Phone(323) 290-2001

Fax(323) 209-2003

Sole ProprietorYes

Enumeration DateJune 5, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1154524585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

3756 SANTA ROSALIA DR STE 507, Los Angeles, CA 90008

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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.

RALPH H BAILEY DC

Chiropractor (Independent Medical Examiner)

3756 SANTA ROSALIA DR STE 507
LOS ANGELES, CA 90008

Los Angeles County (323) 290-0832

MS. NJIDEKA AFULENU OKONKWO I

Counselor

3756 SANTA ROSALIA DR STE 507
LOS ANGELES, CA 90008

Los Angeles County (323) 290-2001

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 Leo Jackson's NPI number?

The NPI number for Leo Jackson is 1154524585. It was assigned to this individual provider in the NPPES registry on June 5, 2007.

Where is Leo Jackson located?

Leo Jackson practices at 3756 Santa Rosalia Dr Ste 507, Los Angeles, CA 90008. The listed phone number is (323) 290-2001.

What is Leo Jackson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Leo Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.