Individual provider · Type 1 NPI
Latoya Jack
Mental Health Counselor · Lake Charles, LA
NPI number
1417485855
Active
Practice location
4396 Gordon Woods Dr
Lake Charles, LA 70615-2997
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1417485855
Latoya Jack's National Provider Identifier is 1417485855, issued on May 30, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lake Charles, LA. The record was last updated on Jul 21, 2022.