Latasha Jackson
NPI #1275171829 in Fairfield, California
Provider Information
- NPI Number
- 1275171829
- Entity Type
- Individual
- Name
- Latasha Jackson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker
- Enumeration Date
- Dec 13, 2019
- Last Updated
- Mar 26, 2024
Practice Location
- Address
- 2101 COURAGE DR
- City
- Fairfield
- State
- California
- ZIP Code
- 94533-6717
- Phone
- (707) 784-8875
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
| Counselor - Mental Health — Mental Health |
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