Individual provider · Type 1 NPI

Charmayne Latriece Jackson, MS, LMHC

Mental Health Counselor · Gainesville, FL

NPI number 1922564012 Active

Practice location

2601 NW 23rd Blvd Apt 243
Gainesville, FL 32605-5958

Call (317) 698-2713 Map

Mailing address

2701 NW 23rd Blvd Apt B20
Gainesville, FL 32605-2926

Other practice locations

  • 4300 SW 13th St, Gainesville, FL 32608-4006 · (352) 374-5600

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor Primary 101YM0800XMH22183 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1922564012

Charmayne Latriece Jackson, MS, LMHC's National Provider Identifier is 1922564012, issued on Feb 14, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gainesville, FL. The record was last updated on May 9, 2023.