person
Mr. John Edward Jackson, BSMS,LMHC,CAP
Mental Health Counselor in Pembroke Pines, Florida
NPI 1285853481

John Edward Jackson is a Mental Health Counselor based in Tamarac, FL and is specialized in Mental Health. John Edward Jackson practices in Pembroke Pines, FL and has the professional credentials of BSMS,LMHC,CAP. The NPI Number for John Edward Jackson is 1285853481 and holds a License No. 3282 (Florida).

The current practice location address for John Edward Jackson is 1851 Nw 123Rd Ave, Pembroke Pines, FL and can be reached out via phone at 954-432-2100.

Location: 1851 Nw 123Rd Ave, Pembroke Pines, FL, 33321-4100
person
Provider Profile Details
NPI Number
1285853481
Provider Name
John Edward Jackson
Credential
BSMS,LMHC,CAP
Provider Entity Type
Individual
Gender
Male
Address
1851 Nw 123Rd Ave, Pembroke Pines, FL, 33321-4100
Phone Number
954-432-2100
Fax Number
Provider Enumeration Date
04/25/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1851 Nw 123Rd Ave
City
State
Zip
33026-3825
Phone Number
954-432-2100
Fax Number
person
Provider Business Mailing Address Details
Address
1851 Nw 123Rd Ave
City
State
Zip
33026-3825
Phone Number
954-432-2100
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
MH8379 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
3282 (Florida)
Definition
Definition to come...
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