Individual
AARON JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
940 AVENUE 64, PASADENA, CA 91105-2711
(323) 543-2800
(323) 978-1263
Mailing address
940 AVENUE 64, PASADENA, CA 91105-2711
(323) 543-2800
(323) 978-1263
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/04/2018
Last updated
02/11/2020
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