Individual provider · Type 1 NPI

Shanquan Jackson, B.A.

Mental Health Counselor · Palmetto Bay, FL

NPI number 1255674453 Active

Practice location

9780 E Indigo St, Suite 302
Palmetto Bay, FL 33157-5609

Call (305) 232-6005 Map

Mailing address

10950 SW 222nd Ter
Miami, FL 33170-6553

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1255674453

Shanquan Jackson, B.A.'s National Provider Identifier is 1255674453, issued on Apr 5, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Palmetto Bay, FL. The record was last updated on Apr 5, 2013.