LANCE JACKSON

MIAMI, FL
NPI1053741926
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH11229)
Enumeration Date2013-11-13
Last Update Date2013-12-13
Business Address
Mr. LANCE JACKSON LMHC
7360 CORAL WAY SUITE #23B
MIAMI, FL 33155-1498
Phone number: 305-763-9565
Mailing Address
Mr. LANCE JACKSON LMHC
391 NE 103RD ST
MIAMI SHORES, FL 33138-2432
Phone number: 305-763-9565
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