Laketa Sha-Ron Jackson, MFT
NPI #1043934227 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1043934227
- Entity Type
- Individual
- Name
- Laketa Sha-Ron Jackson, MFT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Marriage & Family Therapist
- Credential
- MFT
- Enumeration Date
- Sep 30, 2022
- Last Updated
- Sep 30, 2022
Practice Location
- Address
- 6202 CONSTITUTION DR STE D
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46804-1583
- Phone
- (260) 432-0066
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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