Individual provider · Type 1 NPI

Daniella Jackson, PhD, LMHC

Mental Health Counselor · New Port Richey, FL

NPI number 1205487006 Active

Practice location

7813 Mitchell Blvd Ste 106
New Port Richey, FL 34655-4723

Call (727) 767-9850 Map

Fax (727) 767-9851

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH11216 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1205487006

Daniella Jackson, PhD, LMHC's National Provider Identifier is 1205487006, issued on Sep 23, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New Port Richey, FL. The record was last updated on Sep 23, 2019.