Individual provider · Type 1 NPI

Latoya Jackson

Mental Health Counselor · Vicksburg, MS

NPI number 1063658565 Active

Practice location

3444 Wisconsin Ave
Vicksburg, MS 39180-5331

Call (601) 638-0031 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1063658565

Latoya Jackson's National Provider Identifier is 1063658565, issued on Jan 5, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vicksburg, MS. The record was last updated on Jan 5, 2009.