Organization
GRACE & TRUTH PRACTICAL THERAPY, LLC
Active
Other names
Jillian Jackson, LCSW
Organization subpart
No
Provider details
NPI number
Authorized official
JILLIAN JACKSON LCSW (MENTAL HEALTH THERAPIST)
(407) 853-9457
Entity
Organization
Contact information
Practice address
436 MCKENNA DR, WINTER HAVEN, FL 33881-9743
(407) 853-9457
Mailing address
436 MCKENNA DR, WINTER HAVEN, FL 33881-9743
(407) 853-9457
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/22/2022
Last updated
11/22/2022
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