Antionette Marie Jackson
NPI #1649864885 in Crawfordville, Florida
Provider Information
- NPI Number
- 1649864885
- Entity Type
- Individual
- Name
- Antionette Marie Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Mar 1, 2021
- Last Updated
- Mar 1, 2021
Practice Location
- Address
- 110 MELALEUCA DR
- City
- Crawfordville
- State
- Florida
- ZIP Code
- 32327-4963
- Phone
- (850) 617-9167
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Counselor - Professional — Professional |
| Counselor - Mental Health — Mental Health |
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