Organization
HEATHER JACKSON, MS, LMHC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER JACKSON LHMC (PRESIDENT)
(850) 974-1793
Entity
Organization
Contact information
Practice address
256 CARSON OAKS LN, SANTA ROSA BEACH, FL 32459-7149
(850) 974-1793
Mailing address
256 CARSON OAKS LN, SANTA ROSA BEACH, FL 32459-7149
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH 14095
FL
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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