Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carnell Jackson II

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1366631590

Carnell Jackson II is an Addiction (Substance Use Disorder) Counselor in Los Angeles, California. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

2918 W Vernon Ave
Los Angeles, CA 90008-4757
Phone: (323) 497-8150
Fax: (323) 292-5543
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1366631590
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 24, 2007
Last updated in NPPESOctober 24, 2007

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