Individual provider · Type 1 NPI

Laketa Sha-Ron Jackson, MFT

Marriage & Family Therapist · Fort Wayne, IN

NPI number 1043934227 Active

Practice location

6202 Constitution Dr Ste D
Fort Wayne, IN 46804-1583

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XNone listed

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1043934227

Laketa Sha-Ron Jackson, MFT's National Provider Identifier is 1043934227, issued on Sep 30, 2022. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Sep 30, 2022.