Dwaine Jackson
Dwaine Jackson is a Counselor in Compton, California. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
1500 E Kay StCompton, CA 90221-1752
Phone: (310) 898-2450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1205249000 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 9, 2014 |
| Last updated in NPPES | June 9, 2014 |
| Mailing address | 1500 E Kay St, Compton, CA 90221-1752 |
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