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

Mr. Leo B Jackson, CCDC

Individual provider Counselor · NPI 1154524585

Mr. Leo B Jackson, CCDC is a Counselor in Los Angeles, California. Practices as a sole proprietor. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

3756 Santa Rosalia Dr Ste 507
Los Angeles, CA 90008-3656
Phone: (323) 290-2001
Fax: (323) 209-2003
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1154524585
Entity typeIndividual (Type 1)
GenderMale
Credentials CCDC
Sole proprietorYes
NPI enumeratedJune 5, 2007
Last updated in NPPESJuly 8, 2007

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