Individual provider · Type 1 NPI
Larissa M. Jackson, LADC
Addiction (Substance Use Disorder) Counselor · Omaha, NE
NPI number
1700490059
Active
Practice location
3516 Madison St
Omaha, NE 68107-3950
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1681 (NE) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | P-1781 (NE) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1700490059
Larissa M. Jackson, LADC's National Provider Identifier is 1700490059, issued on Sep 3, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Omaha, NE. The record was last updated on Sep 24, 2026.