Individual provider · Type 1 NPI

Derda Jackson, LMHC

Mental Health Counselor · Jacksonville, FL

NPI number 1154016863 Active

Practice location

10752 Deerwood Park Blvd Ste 100
Jacksonville, FL 32256-4846

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH21947 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1154016863

Derda Jackson, LMHC's National Provider Identifier is 1154016863, issued on Apr 7, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jacksonville, FL. The record was last updated on Oct 12, 2025.