MS. Shanquan Jackson, B.A.

NPI #1255674453 in Palmetto Bay, Florida

Provider Information

NPI Number: 1255674453
Entity Type: Individual
Name: MS. Shanquan Jackson, B.A.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: B.A.
Enumeration Date: Apr 5, 2013
Last Updated: Apr 5, 2013

Practice Location

Address: 9780 E INDIGO ST
Address 2: SUITE 302
City: Palmetto Bay
State: Florida
ZIP Code: 33157-5609
Phone: (305) 232-6005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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