Tracie Latrice Jackson
Tracie Latrice Jackson is an Adult Companion in Covina, California. Works from 2 locations. Licensed in California and Nevada.
- Licensed in
- CA, NV
- In the registry since
- 2019
- Specialties on file
- 6
Practice location Address checks out
1274 Center Court Dr Ste 211Covina, CA 91724-3668
Phone: (909) 231-5639
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 3620 N Rancho Dr Ste 117, Las Vegas, NV 89130-3154 — (725) 251-3737
Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X (CA) |
|---|---|
| Adult Companion | Taxonomy 372600000X (NV) |
| Attendant Care Provider | Taxonomy 3747A0650X (NV) |
| Chore Provider | Taxonomy 372500000X (NV) |
| Personal Care Attendant | Taxonomy 3747P1801X (NV) |
| Homemaker | Taxonomy 376J00000X (NV) |
Record details
| NPI number | 1275181414 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 30, 2019 |
| Last updated in NPPES | April 3, 2024 |
| Certification date | April 3, 2024 |
Other providers in Covina
-
Lisa Bohinski
4740 N Grand Ave, Covina, CA 91724-2005 · (626) 859-2089