LATONYA DEMETRIA JACKSON

COLUMBIA, SC
NPI1750710174
Former NameLATONYA DETERIMA HARRIS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-11-06
Last Update Date2013-11-06
Business Address
Mrs. LATONYA DEMETRIA JACKSON CAC II
2711 COLONIAL DR
COLUMBIA, SC 29203-6818
Phone number: 803-726-9300
Mailing Address
Mrs. LATONYA DEMETRIA JACKSON CAC II
2711 COLONIAL DR
COLUMBIA, SC 29203-6818
Phone number: 803-726-9300
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