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Anquanette Jackson
Counselor in South Daytona, Florida
NPI 1679087282

Anquanette Jackson is a Counselor based in Deltona, FL. Anquanette Jackson practices in South Daytona, FL. The NPI Number for Anquanette Jackson is 1679087282 and holds a License No. (Florida).

The current practice location address for Anquanette Jackson is 2400 S Ridgewood Ave, South Daytona, FL and can be reached out via phone at 305-928-0167.

Location: 2400 S Ridgewood Ave, South Daytona, FL, 32738-8973
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679087282
Provider Name
Anquanette Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2400 S Ridgewood Ave, South Daytona, FL, 32738-8973
Phone Number
305-928-0167
Fax Number
Provider Enumeration Date
11/20/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2400 S Ridgewood Ave
City
South Daytona
State
Florida
Zip
32119-3097
Phone Number
305-928-0167
Fax Number
person
Provider Business Mailing Address Details
Address
2400 S Ridgewood Ave
City
South Daytona
State
Florida
Zip
32119-3097
Phone Number
305-928-0167
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
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.
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