Vivian A. Jackson LMHC
Mental Health Counselor in Starke, FL(View on Map)
Full Name
Vivian Ann Jackson LMHC
NPI Number
1922210210
NPI Type
Individual Provider
Gender
Female
Enumeration Date
05/07/2007
Specialties
(Taxonomies)Licenses
State
Florida
License Number
MH17142
Contact
Information
Purpose
Mailing
Location
Address
4300 SW 13TH ST
945 GRAND ST
City
Gainesville
Starke
State
FL
FL
Postal Code
32608-4006
32091-1821
Country
US
US
Telephone Number
(352) 374-5600
(352) 374-5600
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/23/2022
Provider Address
Other Mental Health Counselors in Starke, Florida:
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Valeria Gorden
Starke, FLSpecialties: Mental Health Counselor (Primary)Case Manager/Care CoordinatorCounselor