person
Larissa M. Jackson, PLADC
Addiction (Substance Use Disorder) Counselor in Omaha, Nebraska
NPI 1700490059

Larissa M. Jackson is an Addiction (Substance Use Disorder) Counselor based in Omaha, NE and is specialized in Addiction (Substance Use Disorder). Larissa M. Jackson practices in Omaha, NE and has the professional credentials of PLADC. The NPI Number for Larissa M. Jackson is 1700490059 and holds a License No. P-1781 (Nebraska).

The current practice location address for Larissa M. Jackson is 8502 Mormon Bridge Rd, Omaha, NE and can be reached out via phone at 402-455-8303.

Location: 8502 Mormon Bridge Rd, Omaha, NE, 68116-2149
person
Provider Profile Details
NPI Number
1700490059
Provider Name
Larissa M. Jackson
Credential
PLADC
Provider Entity Type
Individual
Gender
Female
Address
8502 Mormon Bridge Rd, Omaha, NE, 68116-2149
Phone Number
402-455-8303
Fax Number
Provider Enumeration Date
09/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8502 Mormon Bridge Rd
City
State
Zip
68152-1929
Phone Number
402-455-8303
Fax Number
person
Provider Business Mailing Address Details
Address
8502 Mormon Bridge Rd
City
State
Zip
68152-1929
Phone Number
402-455-8303
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
P-1781 (Nebraska)
Definition
Definition to come...
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