person
Ms. Sandra Jones Jackson, LCPC,PROVLMHC
Professional Counselor in Port St Lucie, Florida
NPI 1669675369

Sandra Jones Jackson is a Professional Counselor based in Port St Lucie, FL and is specialized in Professional. Sandra Jones Jackson practices in Port St Lucie, FL and has the professional credentials of LCPC,PROVLMHC. The NPI Number for Sandra Jones Jackson is 1669675369 and holds a License No. PMH 729 (Florida).

The current practice location address for Sandra Jones Jackson is 560 Se Port St Lucie Blvd, Port St Lucie, FL and can be reached out via phone at 772-873-8305 and via fax at 772-873-8307.

Location: 560 Se Port St Lucie Blvd, Port St Lucie, FL, 34984-5108
person
Provider Profile Details
NPI Number
1669675369
Provider Name
Sandra Jones Jackson
Credential
LCPC,PROVLMHC
Provider Entity Type
Individual
Gender
Female
Address
560 Se Port St Lucie Blvd, Port St Lucie, FL, 34984-5108
Phone Number
772-873-8305
Fax Number
772-873-8307
Provider Enumeration Date
06/08/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
560 Se Port St Lucie Blvd
City
State
Zip
34984-5108
Phone Number
772-873-8305
Fax Number
772-873-8307
person
Provider Business Mailing Address Details
Address
560 Se Port St Lucie Blvd
City
State
Zip
34984-5108
Phone Number
772-873-8305
Fax Number
772-873-8307
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LC1622 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
PMH 729 (Florida)
Definition
Definition to come...
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