Latasha Jackson
Latasha Jackson is a Social Worker in Fairfield, California. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
2101 Courage DrFairfield, CA 94533-6717
Phone: (707) 784-8875
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Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1275171829 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 13, 2019 |
| Last updated in NPPES | March 26, 2024 |
| Certification date | March 26, 2024 |
| Mailing address | 2101 Courage Dr, Fairfield, CA 94533-6717 |
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