Individual provider · Type 1 NPI
Latoya Jackson
Addiction (Substance Use Disorder) Counselor · Monroe, LA
NPI number
1558030205
Active
Practice location
4108 Harvey St
Monroe, LA 71203-5746
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CIT-5095 (LA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1558030205
Latoya Jackson's National Provider Identifier is 1558030205, issued on Sep 7, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Monroe, LA. The record was last updated on Sep 7, 2021.