Jackson, Conswaila

Jackson, Conswaila is an sole proprietor health care provider with primary practice located at 21730 S Vermont Ave Ste 210 , Torrance CA 90502-2196. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Jackson, Conswaila can be contacted via phone (310) 781-3408.

Contact Information

Primary practice address
21730 S Vermont Ave Ste 210 Torrance CA 90502-2196
Phone: (310) 781-3408
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X A2008005 California

Profile Details

NPI number 1265563258
LBN Legal business name Jackson, Conswaila
Credentials CADCII
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2007
Last updated Jun 8th, 2023 - about 3 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