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SANDRA JACKSON, LCPC, PROV LMHC
LCPC, PROV LMHC
Mental Health Counselor
NPI: 1669675369Individual
Specialties, Licenses & Credentials
Mental Health CounselorPrimary
Counselor — Mental Health
Code: 101YM0800X
PMH 729(FL)
Professional Counselor
Counselor — Professional
Code: 101YP2500X
LC1622(MD)
Contact & Hours
- Address
- 560 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34984 - Phone
- (772) 873-8305
Quick Facts
- NPI
- 1669675369
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Not confirmed
- Specialties
- 2
- Locations
- 1
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