LATRISHA JACKSON
NPI 1457754798
Counselor - Addiction (Substance Use Disorder) in Long Beach, CA

Active since October 01, 2014
3125 E 7TH ST, LONG BEACH, CA 90804(562) 987-5722(562) 987-4586 Get Directions Write a Review

NPPES record last updated: October 1, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Latrisha Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LATRISHA JACKSON (NPI 1457754798) is an individual addiction (substance use disorder) provider in Long Beach, California and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1457754798
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameLATRISHA JACKSON
Location Address3125 E 7TH STLong Beach, CA 90804-4932
Mailing Address1041 Redondo AveLong Beach, CA 90804-3928 · (562) 987-5722 · Fax (562) 987-5722
Fax(562) 987-4586
Sole ProprietorNo
Enumeration DateOctober 1, 2014
NPI 1457754798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
3125 E 7TH ST, Long Beach, CA 90804

Other Identifiers 1

Medicaid190077AHNCA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
3125 E 7TH ST
LONG BEACH, CA 90804
Counselor (Addiction (Substance Use Disorder))
3125 E 7TH ST
LONG BEACH, CA 90804
Counselor (Addiction (Substance Use Disorder))
3125 E 7TH ST
LONG BEACH, CA 90804
Counselor (Addiction (Substance Use Disorder))
3125 E 7TH ST
LONG BEACH, CA 90804
Counselor (Addiction (Substance Use Disorder))
3125 E 7TH ST
LONG BEACH, CA 90804
Counselor (Addiction (Substance Use Disorder))
3125 E 7TH ST
LONG BEACH, CA 90804
Counselor (Addiction (Substance Use Disorder))
3125 E 7TH ST
LONG BEACH, CA 90804
Counselor (Addiction (Substance Use Disorder))
3125 E 7TH ST
LONG BEACH, CA 90804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Latrisha Jackson's NPI number?

The NPI number for Latrisha Jackson is 1457754798. It was assigned to this individual provider in the NPPES registry on October 1, 2014.

Where is Latrisha Jackson located?

Latrisha Jackson practices at 3125 E 7th St, Long Beach, CA 90804. The listed phone number is (562) 987-5722.

What is Latrisha Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Latrisha Jackson was last updated on October 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.