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Jatauan Jackson
Mental Health Counselor in Orlando, Florida
NPI 1114313251

Jatauan Jackson is a Mental Health Counselor based in Windermere, FL and is specialized in Mental Health. Jatauan Jackson practices in Orlando, FL. The NPI Number for Jatauan Jackson is 1114313251 and holds a License No. (Florida).

The current practice location address for Jatauan Jackson is 3544 Edgewater Dr, Orlando, FL and can be reached out via phone at 817-219-6700.

Location: 3544 Edgewater Dr, Orlando, FL, 34786-5597
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114313251
Provider Name
Jatauan Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
3544 Edgewater Dr, Orlando, FL, 34786-5597
Phone Number
817-219-6700
Fax Number
Provider Enumeration Date
04/14/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3544 Edgewater Dr
City
Orlando
State
Florida
Zip
32804-2922
Phone Number
817-219-6700
Fax Number
person
Provider Business Mailing Address Details
Address
3544 Edgewater Dr
City
Orlando
State
Florida
Zip
32804-2922
Phone Number
817-219-6700
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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