| Charmayne Latriece Jackson, MS, LMHC | |
|
2601 Nw 23rd Blvd Apt 243, Gainesville, FL 32605-5958 | |
| (317) 698-2713 | |
| Not Available |
| Full Name | Charmayne Latriece Jackson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 2601 Nw 23rd Blvd Apt 243, Gainesville, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922564012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | MH22183 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Charmayne Latriece Jackson, MS, LMHC 2701 Nw 23rd Blvd Apt B20, Gainesville, FL 32605-2926 Ph: (317) 698-2713 | Charmayne Latriece Jackson, MS, LMHC 2601 Nw 23rd Blvd Apt 243, Gainesville, FL 32605-5958 Ph: (317) 698-2713 |
Roger Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4300 Sw 13th St, Gainesville, FL 32608 Phone: 352-374-5600 | |
Joseph Palmer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4300 Sw 13th St, Gainesville, FL 32608 Phone: 352-374-5600 | |
Kelly Miller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4300 Sw 13th St, Gainesville, FL 32608 Phone: 352-374-5600 Fax: 352-374-5608 | |
Shannon Moser, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4300 Sw 13th St, Gainesville, FL 32608 Phone: 352-374-5600 Fax: 352-374-5608 | |
Erica S Mosley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4300 Sw 13th Street, Gainesville, FL 32608 Phone: 352-374-5600 | |
Kyeesha Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4300 Sw 13th St, Gainesville, FL 32608 Phone: 352-374-5600 Fax: 352-374-5600 | |
Crystal Biggers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4300 Sw 13th St, Gainesville, FL 32608 Phone: 352-374-5600 |