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

Mr. Jacari Da Von Jackson

Individual provider Mental Health Counselor · NPI 1790277648

Mr. Jacari Da Von Jackson is a Mental Health Counselor in Los Angeles, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
Specialties on file
3

Practice location Address checks out

14003 Eadall Ave
Los Angeles, CA 90061-2143
Phone: (424) 250-8272
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW121520 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence ASW89841 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1790277648
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 5, 2018
Last updated in NPPESNovember 12, 2024
Certification dateNovember 12, 2024

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