Individual
MRS. BETSY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1670 TREMONT LN, WINTER PARK, FL 32792-6192
(407) 234-2264
Mailing address
1670 TREMONT LN, WINTER PARK, FL 32792-6192
(407) 234-2264
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH11983
FL
Other
Enumeration date
02/14/2014
Last updated
02/14/2014
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