Individual provider · Type 1 NPI
La Tonya Nicole Jackson
Addiction (Substance Use Disorder) Counselor · Bethesda, MD
NPI number
1285314534
Active
Practice location
6701 Democracy Blvd, Att Behavioral Health Works Suite 300
Bethesda, MD 20817
Mailing address
1301 E Orangewood Ave
Anaheim, CA 92805-6807
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1285314534
La Tonya Nicole Jackson's National Provider Identifier is 1285314534, issued on Jul 21, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bethesda, MD. The record was last updated on Apr 22, 2024.