Jackson, Larita Ann

Jackson, Larita Ann is an individual health care provider with primary practice located at 2750 Sutterville Rd , Sacramento CA 95820-1024. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Jackson, Larita Ann can be contacted via phone (916) 452-3981.

Contact Information

Primary practice address
2750 Sutterville Rd Sacramento CA 95820-1024
Phone: (916) 452-3981
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6562 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 109108 California

Profile Details

NPI number 1376668244
LBN Legal business name Jackson, Larita Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Mar 22nd, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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