IAN JACKSON

FORT LAUDERDALE, FL
NPI1356865943
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  14930)
Enumeration Date2017-07-26
Last Update Date2017-07-26
Business Address
Mr. IAN JACKSON LMHC
915 MIDDLE RIVER DR STE 103C
FORT LAUDERDALE, FL 33304-3559
Phone number: 908-565-0866
Mailing Address
Mr. IAN JACKSON LMHC
9050 JACARANDA LN APT 1
PLANTATION, FL 33324-3609
Phone number:
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