LAKETA SHA-RON JACKSON

FORT WAYNE, IN
NPI1043934227
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
Enumeration Date2022-09-30
Last Update Date2022-09-30
Business Address
LAKETA SHA-RON JACKSON MFT
6202 CONSTITUTION DR STE D
FORT WAYNE, IN 46804-1583
Phone number: 260-432-0066
Mailing Address
LAKETA SHA-RON JACKSON MFT
6202 CONSTITUTION DR STE D
FORT WAYNE, IN 46804-1583
Phone number: 260-432-0066