Latrice Vernice Jackson
Latrice Vernice Jackson is a Mental Health Counselor in Shawnee, Oklahoma. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
1415 E 10th St 2425 Lenore StShawnee, OK 74801-7801
Phone: (405) 382-7623
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1275800997 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 23, 2011 |
| Last updated in NPPES | January 21, 2016 |
| Mailing address | 1415 E 10th St, 2425 Lenore St., Shawnee, OK 74801-7801 |
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