Individual provider · Type 1 NPI

Jessica Jackson

Mental Health Counselor · Fort Pierce, FL

NPI number 1821536475 Active

Practice location

2222 Colonial Rd Ste 100
Fort Pierce, FL 34950-5309

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1821536475

Jessica Jackson's National Provider Identifier is 1821536475, issued on Feb 3, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Pierce, FL. The record was last updated on Jun 4, 2020.