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1356865943
IAN JACKSON
FORT LAUDERDALE, FL
NPI
1356865943
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL 14930)
Enumeration Date
2017-07-26
Last Update Date
2017-07-26
Business Address
Mr. IAN JACKSON LMHC
915 MIDDLE RIVER DR STE 103C
FORT LAUDERDALE, FL 33304-3559
Phone number: 908-565-0866
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Mailing Address
Mr. IAN JACKSON LMHC
9050 JACARANDA LN APT 1
PLANTATION, FL 33324-3609
Phone number:
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