LAQWANZA JACKSON
Counselor
Active
Individual
NPI: 1114747011
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor | 101Y00000X | Yes | - |
Frequently Asked Questions
NPI 1114747011 is the National Provider Identifier for LAQWANZA JACKSON, a Counselor provider located in Charleston, WV. This NPI was enumerated on October 15, 2024.
LAQWANZA JACKSON practices at 1206 QUARRIER ST, Charleston, WV 25301.
Quick Facts
- NPI
- 1114747011
- Type
- Individual
- Enumerated
- Oct 15, 2024
- Last Updated
- Oct 15, 2024
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