Jackson, Latoya

Jackson, Latoya is an individual health care provider with primary practice located at 5041 New Centre Dr Ste 209 , Wilmington NC 28403-1624. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Jackson, Latoya can be contacted via phone (910) 392-8956.

Contact Information

Primary practice address
5041 New Centre Dr Ste 209 Wilmington NC 28403-1624
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1952510398
LBN Legal business name Jackson, Latoya
Credentials MS,QP
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Jun 21st, 2011 - about 14 years 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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