Individual
LARITA ANN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2750 SUTTERVILLE RD, SACRAMENTO, CA 95820-1024
(916) 452-3981
Mailing address
2750 SUTTERVILLE RD, SACRAMENTO, CA 95820-1093
(916) 452-3981
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6562
CA
106H00000X
Marriage & Family Therapist
109108
CA
Other
Enumeration date
03/20/2007
Last updated
03/22/2024
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