Individual provider · Type 1 NPI

Larita Ann Jackson

Rehabilitation Practitioner · Sacramento, CA

NPI number 1376668244 Active

Practice location

2750 Sutterville Rd
Sacramento, CA 95820-1024

Other practice locations

  • 3321 Power Lnn Road Ste 110, Sacramento, CA 95826 · (916) 247-7191

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X19547 (CA)
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1376668244

Larita Ann Jackson's National Provider Identifier is 1376668244, issued on Mar 20, 2007. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Sacramento, CA. The record was last updated on Jul 22, 2026.