Dwaine Jackson
Counselor · Compton, CA
NPI number
1205249000
Practice location
1500 E Kay StCompton, CA 90221-1752
- Phone
- (310) 898-2450
NPI record
- NPI
- 1205249000
- Entity type
- Individual (Type 1)
- Enumeration date
- June 9, 2014
- Last updated
- June 9, 2014
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X |
— | — |
About Dwaine Jackson
Dwaine Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 1500 E Kay St, Compton, CA 90221-1752. The NPI number 1205249000 was assigned on June 9, 2014 and the record was last updated on June 9, 2014.
Frequently asked questions
What is the NPI number of Dwaine Jackson?
The NPI number is 1205249000.
What is the phone number of Dwaine Jackson?
The phone number listed for the practice location is (310) 898-2450.
Where is Dwaine Jackson located?
1500 E Kay St, Compton, CA 90221-1752.
What is the taxonomy code for Dwaine Jackson?
The primary taxonomy code is 101Y00000X – Counselor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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