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Theresia Rene Jackson, LMHC
Mental Health Counselor in Ocala, Florida
NPI 1649813619

Theresia Rene Jackson is a Mental Health Counselor based in Ocala, FL and is specialized in Mental Health. Theresia Rene Jackson practices in Ocala, FL and has the professional credentials of LMHC. The NPI Number for Theresia Rene Jackson is 1649813619 and holds a License No. MI16018 (Florida).

The current practice location address for Theresia Rene Jackson is 6460 Nw 67Th Ter, Ocala, FL and can be reached out via phone at 352-875-1179.

Location: 6460 Nw 67Th Ter, Ocala, FL, 34482-2130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649813619
Provider Name
Theresia Rene Jackson
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
6460 Nw 67Th Ter, Ocala, FL, 34482-2130
Phone Number
352-875-1179
Fax Number
Provider Enumeration Date
10/23/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6460 Nw 67Th Ter
City
Ocala
State
Florida
Zip
34482-2130
Phone Number
352-875-1179
Fax Number
person
Provider Business Mailing Address Details
Address
6460 Nw 67Th Ter
City
Ocala
State
Florida
Zip
34482-2130
Phone Number
352-875-1179
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MI16018 (Florida)
Definition
Definition to come...
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