CHARMAYNE LATRIECE JACKSON

GAINESVILLE, FL
NPI1922564012
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH22183)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2019-02-14
Last Update Date2023-05-09
Business Address
CHARMAYNE LATRIECE JACKSON MS, LMHC
2601 NW 23RD BLVD APT 243
GAINESVILLE, FL 32605-5958
Phone number: 317-698-2713
Mailing Address
CHARMAYNE LATRIECE JACKSON MS, LMHC
2701 NW 23RD BLVD APT B20
GAINESVILLE, FL 32605-2926
Phone number: 317-698-2713
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