La Tasha Jackson
La Tasha Jackson is an Addiction (Substance Use Disorder) Counselor in San Diego, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
5473 Kearny Villa Rd Ste 300San Diego, CA 92123-1142
Phone: (619) 204-0074
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X (CA) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 21027 (CA) |
Record details
| NPI number | 1366233900 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 14, 2025 |
| Last updated in NPPES | November 6, 2025 |
| Certification date | November 6, 2025 |
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