Individual provider · Type 1 NPI

Tierra Jackson, LPCA, LMFTA, RMFTI

Marriage & Family Therapist · Palm Bay, FL

NPI number 1225440548 Active

Practice location

4680 Lipscomb St NE, Suite 10A
Palm Bay, FL 32905-2984

Mailing address

910 Ute Trl
Patrick Afb, FL 32925-3160

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XIMT2200 (FL)
Marriage & Family Therapist 106H00000X9096A (NC)
Professional Counselor 101YP2500XA10704 (NC)

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 1225440548

Tierra Jackson, LPCA, LMFTA, RMFTI's National Provider Identifier is 1225440548, issued on May 21, 2014. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Palm Bay, FL. The record was last updated on Dec 17, 2014.