Search › California › 1041C0700X
Katrice Jackson, LCSW
NPI 1184102501 · on the registry since 2018
Practice
- Address
- 1465 E 103rd St
Los Angeles, CA 90002 - Phone
- (323) 564-7911
- Fax
- (323) 569-8527
- Organisation at this address
- Kaiser Foundation Health Plan Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
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