Organization
LATOSHA JACKSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATOSHA M JACKSON LIMHP, CMSW (LICENSED CLINICIAN SOCIAL WORKER)
(402) 469-6899
Entity
Organization
Contact information
Practice address
5539 S 27TH ST STE 104, LINCOLN, NE 68512-1600
(402) 261-8313
Mailing address
5539 S 27TH ST STE 104, LINCOLN, NE 68512-1600
(402) 261-8313
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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