Individual provider · Type 1 NPI

Keyana Marie Jackson

Mental Health Counselor · St. Petersburg, FL

NPI number 1982020095 Active

Practice location

445 31st St N
St. Petersburg, FL 33713-7605

Call (727) 821-4819 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1982020095

Keyana Marie Jackson's National Provider Identifier is 1982020095, issued on Mar 13, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Petersburg, FL. The record was last updated on Mar 13, 2014.