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NPI Code Detail

MEDICARE: SABRINA DENISE JACKSON ED.S., LMHC, M.S.

MEDICARE:   SABRINA DENISE JACKSON  ED.S., LMHC, M.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorMH7175FL

General Provider Information

NPI Number : 1851970222
Entity Type Code : Individual
Provider Name (Legal Business Name) : SABRINA DENISE JACKSON ED.S., LMHC, M.S.
Provider Business Mailing Address
First Line : 9716 SW 213TH TER
Second Line :
City : CUTLER BAY
State : FL
Zip : 33189-3702
Country : US
Telephone Number : 786-301-9308
Fax Number :
Provider Business Practice Location Address
First Line : 9716 SW 213TH TER
Second Line :
City : CUTLER BAY
State : FL
Zip : 33189-3702
Country : US
Telephone Number : 786-301-9308
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2021
Last Update Date : 04/05/2021

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Directions to “ SABRINA DENISE JACKSON ED.S., LMHC, M.S.” Practice Location

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