Individual provider · Type 1 NPI

Taveka L. Jackson, MS, LMHC

Mental Health Counselor · Panama City, FL

NPI number 1790919199 Active

Practice location

648 Florida Ave
Panama City, FL 32401-6311

Fax (850) 769-6003

Mailing address

PO Box 36041
Panama City, FL 32412-6041

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH9800 (FL)
School Counselor 101YS0200XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1790919199

Taveka L. Jackson, MS, LMHC's National Provider Identifier is 1790919199, issued on May 13, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Panama City, FL. The record was last updated on May 13, 2009.