Individual
JACKI D NASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2020 EDGEWOOD DR S, LAKELAND, FL 33803-3627
(863) 666-8346
(863) 668-3480
Mailing address
PO BOX 95004, LAKELAND, FL 33804-5004
(863) 680-7206
(863) 680-7420
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
MH13
FL
Other
Enumeration date
01/27/2006
Last updated
02/18/2010
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