LARISSA M. JACKSON

OMAHA, NE
NPI1700490059
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NE  P-1781)
Enumeration Date2020-09-03
Last Update Date2020-09-03
Business Address
LARISSA M. JACKSON PLADC
8502 MORMON BRIDGE RD
OMAHA, NE 68152-1929
Phone number: 402-455-8303
Mailing Address
LARISSA M. JACKSON PLADC
3327 N 163RD PLZ APT 304
OMAHA, NE 68116-2149
Phone number: 402-510-0668
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