MR. Jerry Lee Couch JR.
NPI #1316182769 in Compton, California
Provider Information
- NPI Number
- 1316182769
- Entity Type
- Individual
- Name
- MR. Jerry Lee Couch JR.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Dec 12, 2008
- Last Updated
- May 17, 2013
Practice Location
- Address
- 1303 W WALNUT PKWY
- City
- Compton
- State
- California
- ZIP Code
- 90220-5030
- Phone
- (310) 868-4379
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Case Manager/Care Coordinator |
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