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Mrs. Sandra Jackson, LMHC
Counselor in St Augustine, Florida
NPI 1356330765

Sandra Jackson is a Counselor based in St Augustine, FL. Sandra Jackson practices in St Augustine, FL and has the professional credentials of LMHC. The NPI Number for Sandra Jackson is 1356330765 and holds a License No. MH8391 (Florida).

The current practice location address for Sandra Jackson is 1955 Us Highway 1 S, St Augustine, FL and can be reached out via phone at 904-209-6222 and via fax at 904-209-6291.

Location: 1955 Us Highway 1 S, St Augustine, FL, 32086-3708
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356330765
Provider Name
Sandra Jackson
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
1955 Us Highway 1 S, St Augustine, FL, 32086-3708
Phone Number
904-209-6222
Fax Number
904-209-6291
Provider Enumeration Date
10/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
767122900 05 FL
Z089A 01 FL BCBS
institution
Provider Business Practice Location Address Details
Address
1955 Us Highway 1 S
City
St Augustine
State
Florida
Zip
32086-3708
Phone Number
904-209-6222
Fax Number
904-209-6291
person
Provider Business Mailing Address Details
Address
1955 Us Highway 1 S
City
St Augustine
State
Florida
Zip
32086-3708
Phone Number
904-209-6222
Fax Number
904-209-6291
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
MH8391 (Florida)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH8391 (Florida)
Definition
Definition to come...
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