Individual provider · Type 1 NPI
Theresia Rene Jackson, LMHC
Mental Health Counselor · Ocala, FL
NPI number
1649813619
Active
Practice location
6460 NW 67th Ter
Ocala, FL 34482-2130
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MI16018 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1649813619
Theresia Rene Jackson, LMHC's National Provider Identifier is 1649813619, issued on Oct 23, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ocala, FL. The record was last updated on Oct 23, 2019.