Individual provider · Type 1 NPI

Tiffany Nicole Jackson

Mental Health Counselor · Lutz, FL

NPI number 1164950630 Active

Practice location

21808 State Road 54
Lutz, FL 33549-6923

Mailing address

PO Box 46421
Tampa, FL 33646-0104

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH16981 (FL)

Mental Health Counselor: Definition to come...

36 other providers at this address

Other mental health counselor providers in Lutz

See all in Lutz →

About NPI 1164950630

Tiffany Nicole Jackson's National Provider Identifier is 1164950630, issued on May 30, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lutz, FL. The record was last updated on Dec 9, 2019.