Candis L Jackson, LMHC Valid NPI

Individual provider · Mental Health Counselor · Port Charlotte, FL

NPI

1104004746

Type

Individual (Type 1)

Primary specialty

Mental Health Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YM0800X

License number

MH4441 (FL)

Sex

Female

Sole proprietor

No

Enumerated

2008-02-06

Last updated

2024-05-07