LATRISHA JACKSON

LONG BEACH, CA
NPI1457754798
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-10-01
Last Update Date2014-10-01
Business Address
-- LATRISHA JACKSON
3125 E 7TH ST
LONG BEACH, CA 90804-4932
Phone number: 562-987-5722
Mailing Address
-- LATRISHA JACKSON
1041 REDONDO AVE
LONG BEACH, CA 90804-3928
Phone number: 562-987-5722
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