Organization
CNS SERVICES, INC
Active
Other names
Living Your Life Without Limits
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON JACKSON RN (CEO)
(562) 338-6087
Entity
Organization
Contact information
Practice address
2309 W RAYMOND ST, COMPTON, CA 90220-4047
(562) 338-6087
Mailing address
618 W SCHOOL ST, COMPTON, CA 90220-1923
(562) 250-4150
(562) 567-8549
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
163WC1600X
Continuing Education/Staff Development Registered Nurse
Primary
—
—
163WD0400X
Diabetes Educator Registered Nurse
—
—
171400000X
Health & Wellness Coach
—
—
174H00000X
Health Educator
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
07/20/2023
Last updated
09/10/2023
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