NPI 1043934227

Laketa Sha-Ron Jackson, MFT

Practitioner Marriage & Family Therapist Fort Wayne, IN

Practice location

Address: 6202 Constitution Dr STE D, Fort Wayne, IN 46804-1583
Phone: (260) 432-0066

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X

Other Marriage & Family Therapist providers in Indiana →

Registry record

NPI: 1043934227
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Sep 2022
Record last updated: 30 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.