Individual provider · Type 1 NPI

Sandra Ivelisse Pagan-Jackson, RCSWI

Mental Health Counselor · West Palm Beach, FL

NPI number 1942755079 Active

Practice location

1639 Forum Pl Ste 7
West Palm Beach, FL 33401-2330

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XISW18519 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1942755079

Sandra Ivelisse Pagan-Jackson, RCSWI's National Provider Identifier is 1942755079, issued on Aug 18, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in West Palm Beach, FL. The record was last updated on Sep 3, 2025.