Jackson, Latoya

Jackson, Latoya is an sole proprietor health care provider with primary practice located at 6235 River Crest Dr Ste N , Riverside CA 92507-0758. She recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Jackson, Latoya can be contacted via phone (951) 742-7561.

Contact Information

Primary practice address
6235 River Crest Dr Ste N Riverside CA 92507-0758
Phone: (951) 742-7561
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 130954 California

Profile Details

NPI number 1134467665
LBN Legal business name Jackson, Latoya
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2013
Last updated May 11th, 2023 - about last year

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.

Request for update

Popular Providers