MS. LATOSHA MARTHIA JACKSON
NPI 1427314517
Counselor - Mental Health in Oklahoma City, OK
Active since April 03, 2012
2619 N HARVEY AVE, OKLAHOMA CITY, OK 73103(405) 525-3959(405) 525-3439 Get Directions Write a Review
About Ms. Latosha Marthia Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. LATOSHA MARTHIA JACKSON (NPI 1427314517) is an individual mental health provider in Oklahoma City, Oklahoma and active in the NPI registry since April 2012.
NPPES Registry Identity
NPI1427314517
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. LATOSHA MARTHIA JACKSON
Location Address2619 N HARVEY AVEOklahoma City, OK 73103
Mailing Address2619 N Harvey AveOklahoma City, OK 73103-3017 · (405) 525-3959 · Fax (405) 525-3439
Phone(405) 525-3959
Fax(405) 525-3439
Sole ProprietorNo
Enumeration DateApril 3, 2012
✔ NPI 1427314517 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2619 N HARVEY AVE, Oklahoma City, OK 73103
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427314517, enumerated as an "individual" on April 03, 2012.
The provider is located at 2619 N HARVEY AVE OKLAHOMA CITY, OK 73103 and the phone number is (405) 525-3959.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
