Individual ProviderJackie SterlingCounselorBehavioral Health & Social Service ProvidersPractice Address5310 S Hoover St, Los Angeles, CA 90037-3734(323) 235-0733PECOS EnrollmentBased on the most recent information from CMS, provider Jackie Sterling does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 9:43 AM.Profile DetailsProvider ID1831385103Provider TypeIndividualFull NameSterling, JackieGenderMaleSole ProprietorNoEnumeration Date9/20/2007Last Updated9/20/2007Contact InformationPractice LocationPractice Address5310 S Hoover St, Los Angeles, CA 90037-3734Phone(323) 235-0733FaxUnlisted FaxMailing LocationMailing Address5310 S Hoover St, Los Angeles, CA 90037-3734PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YA0400XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID5696DescriptionOtherIssuerCAS #California