Individual provider · Type 1 NPI

Antionette Marie Jackson

Mental Health Counselor · Crawfordville, FL

NPI number 1649864885 Active

About NPI 1649864885

Antionette Marie Jackson's National Provider Identifier is 1649864885, issued on Mar 1, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Crawfordville, FL. The record was last updated on Mar 1, 2021.