Latisha Nicole Jackson in Richmond - Addiction (substance Use Disorder)
Latisha Nicole Jackson - NPI 1548446537
Latisha Nicole Jackson is a Addiction (substance Use Disorder) in Richmond, California. Latisha Nicole Jackson practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Latisha Nicole Jackson is 1548446537. The last update date is 2008-02-05.
Latisha Nicole Jackson's current location address is 820 23rd St, Richmond, California. You can contact this provider via phone number 5102295000 and fax number 5102353112. The mailing address for Latisha Nicole Jackson is 820 23rd St, Richmond, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Latisha Nicole Jackson |
|---|---|
| Address | 820 23rd St, Richmond, California |
| Phone Number | 5102295000 |
| Fax Number | 5102353112 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1548446537 |
|---|---|
| Provider Enumeration Date | 2008-01-21 |
| Last Updated Date | 2008-02-05 |
Provider Mailing Address Detail
| Address | 820 23rd St |
|---|---|
| City | Richmond |
| State | California (CA) |
| Post Code | 948041338 |
| Phone Number | 5102295000 |
| Fax Number | 5102353112 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the unique identifier code issued to Latisha Nicole Jackson by the Centers for Medicare & Medicaid Services?
The Latisha Nicole Jackson has been assigned the NPI (National Provider Identifier) 1548446537. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Latisha Nicole Jackson?
The Latisha Nicole Jackson is physically situated at 820 23Rd St, in the city of Richmond, state of CA, with the postal code 948041338.
What is the area of specialization for Latisha Nicole Jackson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Latisha Nicole Jackson is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of expertise is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1548446537 to Latisha Nicole Jackson?
The Centers for Medicare & Medicaid Services assigned the 1548446537 to Latisha Nicole Jackson on 2008-01-21.
When was the Latisha Nicole Jackson's information last updated?
The Latisha Nicole Jackson's information was last updated on 2008-02-05.
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