person
Vivian Ann Jackson, LMHC
Mental Health Counselor in Starke, Florida
NPI 1922210210

Vivian Ann Jackson is a Mental Health Counselor based in Gainesville, FL and is specialized in Mental Health. Vivian Ann Jackson practices in Starke, FL and has the professional credentials of LMHC. The NPI Number for Vivian Ann Jackson is 1922210210 and holds a License No. MH17142 (Florida).

The current practice location address for Vivian Ann Jackson is 945 Grand St, Starke, FL and can be reached out via phone at 352-374-5600.

Location: 945 Grand St, Starke, FL, 32608-4006
person
Provider Profile Details
NPI Number
1922210210
Provider Name
Vivian Ann Jackson
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
945 Grand St, Starke, FL, 32608-4006
Phone Number
352-374-5600
Fax Number
Provider Enumeration Date
05/07/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
945 Grand St
City
State
Zip
32091-1821
Phone Number
352-374-5600
Fax Number
person
Provider Business Mailing Address Details
Address
945 Grand St
City
State
Zip
32091-1821
Phone Number
352-374-5600
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH17142 (Florida)
Definition
Definition to come...
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