Individual provider · Type 1 NPI

Lavonne Jackson

Mental Health Counselor · Clearwater, FL

NPI number 1316576937 Active

Practice location

622 S Betty Ln Apt 2
Clearwater, FL 33756-6080

Call (757) 769-9056 Map

Mailing address

PO Box 7215
Clearwater, FL 33758-7215

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X18659 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1316576937

Lavonne Jackson's National Provider Identifier is 1316576937, issued on Apr 6, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Clearwater, FL. The record was last updated on Apr 6, 2020.