Individual provider · Type 1 NPI

Deja Jackson

Mental Health Counselor · Sanford, FL

NPI number 1114760774 Active

Practice location

2425 S Park Ave
Sanford, FL 32771-4419

Call (689) 247-7243 Map

Mailing address

417 Abbeywood Ln
Casselberry, FL 32707-5933

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XIMH25319 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1114760774

Deja Jackson's National Provider Identifier is 1114760774, issued on Jun 13, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Sanford, FL. The record was last updated on Jun 13, 2024.