Individual provider · Type 1 NPI

Anquanette Jackson

Counselor · South Daytona, FL

NPI number 1679087282 Active

Practice location

2400 S Ridgewood Ave
South Daytona, FL 32119-3097

Call (305) 928-0167 Map

Mailing address

579 Lagorce Ter
Deltona, FL 32738-8973

Other practice locations

  • 579 Lagorce Ter, Deltona, FL 32738-8973 · (305) 928-0167

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1679087282

Anquanette Jackson's National Provider Identifier is 1679087282, issued on Nov 20, 2017. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in South Daytona, FL. The record was last updated on Mar 17, 2018.