Individual provider · Type 1 NPI

Tamara Ann Jackson, MASTERS

Mental Health Counselor · St. Petersburg, FL

NPI number 1639828429 Active

Practice location

4024 Central Ave
St. Petersburg, FL 33711-1239

Fax (727) 322-2130

Mailing address

PO Box 10970
St. Petersburg, FL 33733-0970

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1639828429

Tamara Ann Jackson, MASTERS's National Provider Identifier is 1639828429, issued on Mar 21, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Petersburg, FL. The record was last updated on Mar 21, 2022.