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VIVIAN JACKSON, LMHC
LMHC
Mental Health Counselor
NPI: 1922210210IndividualAccepts Medicare
Specialties, Licenses & Credentials
Mental Health CounselorPrimary
Counselor — Mental Health
Code: 101YM0800X
MH17142(FL)
CMS Specialties
PrimaryMENTAL HEALTH COUNSELOR
Education
OTHER
Class of 2011
Contact & Hours
- Address
- 945 GRAND ST
STARKE, FL 32091 - Phone
- (352) 374-5600
Quick Facts
- NPI
- 1922210210
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 15
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