Individual provider · Type 1 NPI

Dominique Jackson, MSW, RCSWI

Marriage & Family Therapist · Midway, FL

NPI number 1003756354 Active

Practice location

71 James Hinson Dr
Midway, FL 32343-2264

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XISW22976 (FL)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1003756354

Dominique Jackson, MSW, RCSWI's National Provider Identifier is 1003756354, issued on Mar 30, 2026. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Midway, FL. The record was last updated on Mar 30, 2026.