Latonya Jackson
Peer Specialist in Baton Rouge, LA. Individual provider (NPI-1).
NPI number1699314435
StatusActive
Last updated in NPPESDec 26, 2019
Details
- NPI
- 1699314435
- Entity type
- Individual (NPI-1)
- Name
- Latonya Jackson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 26, 2019
- Certification date
- Dec 26, 2019
- Last updated
- Dec 26, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
8326 Kelwood AveBaton Rouge, LA 70806-4803
Phone 318-779-1158
Mailing address
8326 Kelwood AveBaton Rouge, LA 70806-4803
Phone 318-779-1158
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