Search › California › 101YA0400X
Charlene Jackson
NPI 1073919379 · on the registry since 2014
Practice
- Address
- 1135 S Alvarado St
Los Angeles, CA 90006 - Phone
- (323) 540-9016
- Organisation at this address
- Alcoholism Center For Women
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 17
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 171M00000X
- Sex
- Female
- Record last updated
- 2023-05-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California