CANDIS L JACKSON

PORT CHARLOTTE, FL
NPI1104004746
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH4441)
Enumeration Date2008-02-06
Last Update Date2024-05-07
Business Address
Ms. CANDIS L JACKSON LMHC
4161 TAMIAMI TRL STE 304D
PORT CHARLOTTE, FL 33952-9254
Phone number: 941-625-5895
Mailing Address
Ms. CANDIS L JACKSON LMHC
PO BOX 512139
PUNTA GORDA, FL 33951-2139
Phone number: 941-625-5895
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