Individual
MS. LATASHA R JACKSON-RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
407 W GOWE ST, KENT, WA 98032-5806
(253) 398-1547
Mailing address
PO BOX 1012, KENT, WA 98035-1012
(253) 398-1547
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
60497444
WA
Other
Enumeration date
04/28/2022
Last updated
11/09/2023
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