SANDRA JACKSON

ST AUGUSTINE, FL
NPI1356330765
Former NameSANDRA MELCHIONNE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH8391)
Additional Taxonomies101Y00000X Counselor
(Licence: FL  MH8391)
Enumeration Date2005-10-18
Last Update Date2025-10-31
Business Address
Mrs. SANDRA JACKSON LMHC
1880 SAN SEBASTIAN VW STE 4201
ST AUGUSTINE, FL 32084-8684
Phone number: 800-539-4228
Mailing Address
Mrs. SANDRA JACKSON LMHC
150 MAGNOLIA AVE
DAYTONA BEACH, FL 32114-4304
Phone number: 800-539-4228