Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARICA FANTASIA JACKO
Active Sole ProprietorLARICA FANTASIA JACKO is a Counselor healthcare provider located in SAN JOSE, California. NPI 1639684228 is currently active in the NPPES registry. Verify at CMS.
Counselor · SAN JOSE, CA
Registration Details
- NPI Number
- 1639684228
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 5, 2017 (8.6900743406173 yrs)
- Last Updated
- Dec 5, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
1400 PARKMOOR AVESAN JOSE, CA, 951263797Browse CA providers · Browse ZIP 95126
- Phone
- 4086378009
- Primary Specialty
-
Counselor
101Y00000X
- Additional Specialty
- Counselor
Other Counselor Providers in SAN JOSE, CA
| Name | Credential | NPI |
|---|---|---|
| JOYCE RUBA | BA | 1598717712 |
| WENDY LESLIE | BA/BS | 1982656062 |
| JILL MOODY | LPT | 1417909540 |
| KRISTIN LLOYD | BA | 1801840277 |
| CHRYSTAL CHACON | BA | 1922053479 |
| MARITZA EMELY SILAPASVANG | — | 1568544161 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.