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CARNELL JACKSON II
NPI 1366631590
Counselor - Addiction (Substance Use Disorder) in Los Angeles, CA

Active since October 24, 2007
2918 W VERNON AVE, LOS ANGELES, CA 90008(323) 497-8150(323) 292-5543 Get Directions Write a Review

NPPES record last updated: October 24, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carnell Jackson Ii NPPES

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

CARNELL JACKSON II (NPI 1366631590) is an individual addiction (substance use disorder) provider in Los Angeles, California and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1366631590
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameCARNELL JACKSON II
Location Address2918 W VERNON AVELos Angeles, CA 90008-4757
Mailing Address2918 W Vernon AveLos Angeles, CA 90008-4757 · (323) 497-8150 · Fax (323) 292-5543
Phone(323) 497-8150
Fax(323) 292-5543
Sole ProprietorNo
Enumeration DateOctober 24, 2007
✔ NPI 1366631590 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
2918 W VERNON AVE, Los Angeles, CA 90008
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Other Providers at the Same Location NPPES 5

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

MR. MARIO SALVADOR GONZALEZ SR.
Counselor (Addiction (Substance Use Disorder))
2918 W VERNON AVE
LOS ANGELES, CA 90008
Los Angeles County (323) 497-8150
MS. PATRICIA ANN WOOTEN
Counselor (Addiction (Substance Use Disorder))
2918 W VERNON AVE
LOS ANGELES, CA 90008
Los Angeles County (323) 497-8150
A HOME FOR US FOUNDATION INC.
Rehabilitation, Substance Use Disorder Unit
2918 W VERNON AVE
LOS ANGELES, CA 90008
Los Angeles County (323) 497-8150
MS. JERRY MARTIN JR.
Counselor (Addiction (Substance Use Disorder))
2918 W VERNON AVE
LOS ANGELES, CA 90008
Los Angeles County (323) 497-8150
EDWARD EUGENE HENRY
Counselor (Addiction (Substance Use Disorder))
2918 W VERNON AVE
LOS ANGELES, CA 90008
Los Angeles County (323) 497-8150

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 Carnell Jackson's NPI number?

The NPI number for Carnell Jackson is 1366631590. It was assigned to this individual provider in the NPPES registry on October 24, 2007.

Where is Carnell Jackson located?

Carnell Jackson practices at 2918 W Vernon Ave, Los Angeles, CA 90008. The listed phone number is (323) 497-8150.

What is Carnell 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 Carnell Jackson was last updated on October 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.