Individual provider · Type 1 NPI
Julia Elaine Jackson
Mental Health Counselor · St. Augustine, FL
NPI number
1982374161
Active · reactivated Aug 1, 2024
Practice location
48 Country Fern Dr
St. Augustine, FL 32092-3383
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 24048 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1982374161
Julia Elaine Jackson's National Provider Identifier is 1982374161, issued on Sep 17, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Augustine, FL. The record was last updated on Aug 14, 2024.