Jackson L Denton | Los Alamitos, CA • PECOS Search

Jackson L Denton

Marriage & Family Therapist

Behavioral Health & Social Service Providers

4132 Katella Ave Ste 104, Los Alamitos, CA 90720-3493

(562) 598-5991 (714) 943-9515

PECOS Enrollment

Based on the most recent information from CMS, provider Jackson L Denton does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1881118776
Provider Type
Individual
Full Name
Denton, Jackson L
Gender
Male

Sole Proprietor
No
Enumeration Date
8/1/2017
Last Updated
8/1/2017

Contact Information

Practice Location

4132 Katella Ave Ste 104, Los Alamitos, CA 90720-3493

Unlisted Fax

Mailing Location

19877 Saltwater Cir., Huntington Beach, CA 92648

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License IMF95133 California