Jackson, Calanthe

Jackson, Calanthe is an individual health care provider with primary practice located at 130 W Victoria St , Gardena CA 90248-3523. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Jackson, Calanthe can be contacted via phone (310) 715-2020.

Contact Information

Primary practice address
130 W Victoria St Gardena CA 90248-3523
Phone: (310) 715-2020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1841490331
LBN Legal business name Jackson, Calanthe
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2007
Last updated Jul 23rd, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers