| Latosha Jackson | |
|
5539 S 27th St Ste 104 Lincoln NE 68512-1600 | |
| (402) 261-8313 | |
| Not Available |
| Full Name | Latosha Jackson |
|---|---|
| Speciality | Case Management |
| Location | 5539 S 27th St Ste 104, Lincoln, Nebraska |
| Authorized Official Name and Position | Latosha M Jackson (LICENSED CLINICIAN SOCIAL WORKER) |
| Authorized Official Contact | 4024696899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Latosha Jackson 5539 S 27th St Ste 104 Lincoln NE 68512-1600 Ph: (402) 261-8313 | Latosha Jackson 5539 S 27th St Ste 104 Lincoln NE 68512-1600 Ph: (402) 261-8313 |
| NPI Number | 1871055129 |
|---|---|
| Provider Enumeration Date | 04/04/2019 |
| Last Update Date | 04/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871055129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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