Individual provider · Type 1 NPI
Tasha Ann Jackson, LCSW
Mental Health Counselor · Panama City, FL
NPI number
1851654248
Active
Practice location
210 E 11th St
Panama City, FL 32401-2939
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1851654248
Tasha Ann Jackson, LCSW's National Provider Identifier is 1851654248, issued on Jun 20, 2012. 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 Jun 20, 2012.