Organization
LATOSHA JACKSON LLC
Active
Organization
LATOSHA JACKSON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATOSHA JACKSON LICSW (PROVIDER)
(402) 469-6899
Entity
Organization
Contact information
Practice address
6 CHENELL DR STE 100, CONCORD, NH 03301-8514
(603) 545-8355
Mailing address
1 HARDY RD # 128, BEDFORD, NH 03110-4915
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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