LIONEL DEWAYNE JACKSON
NPI 1154836146
Counselor in Los Angeles, CA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

Active since December 12, 2017

600 ST PAUL AVE STE 200, LOS ANGELES, CA 90017(213) 482-6400 Get Directions Write a Review

NPPES record last updated: December 12, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Lionel Dewayne Jackson NPPES

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

LIONEL DEWAYNE JACKSON (NPI 1154836146) is an individual counselor in Los Angeles, California and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1154836146

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameLIONEL DEWAYNE JACKSON

Location Address600 ST PAUL AVE STE 200Los Angeles, CA 90017-5686

Mailing Address600 St Paul Ave Ste 200Los Angeles, CA 90017-5686 · (213) 482-6400

Phone(213) 482-6400

Sole ProprietorYes

Enumeration DateDecember 12, 2017

✔ NPI 1154836146 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.

600 ST PAUL AVE STE 200, Los Angeles, CA 90017

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