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1013364132
HEATHER JACKSON, MS, LMHC, LLC
SANTA ROSA BEACH, FL
NPI
1013364132
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Entity Type
Organization
Authorized Contact
HEATHER JACKSON
President
850-974-1793
Organization Subpart ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: FL MH 14095)
Enumeration Date
2016-05-18
Last Update Date
2016-05-18
Business Address
HEATHER JACKSON, MS, LMHC, LLC
256 CARSON OAKS LN
SANTA ROSA BEACH, FL 32459-7149
Phone number: 850-974-1793
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Mailing Address
HEATHER JACKSON, MS, LMHC, LLC
256 CARSON OAKS LN
SANTA ROSA BEACH, FL 32459-7149
Phone number:
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