Ms Sandra Jones Jackson, LCPC, PROV LMHC - Counselor in Port St Lucie, FL

Ms Sandra Jones Jackson, LCPC, PROV LMHC is a Counselor - Mental Health based in Port St Lucie, Florida. Ms Sandra Jones Jackson is licensed to practice in Florida (license number PMH 729) and her current practice location is 560 Se Port St Lucie Blvd, Port St Lucie, Florida. She can be reached at her office (for appointments etc.) via phone at (772) 873-8305.

NPI number for Ms Sandra Jones Jackson is 1669675369 and her current mailing address is 560 Se Port St Lucie Blvd, Port St Lucie, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669675369.

Contact Information

Ms Sandra Jones Jackson, LCPC, PROV LMHC
560 Se Port St Lucie Blvd,
Port St Lucie, FL 34984-5108
(772) 873-8305
(772) 873-8307

Map and Direction


Healthcare Provider's Profile

Full NameMs Sandra Jones Jackson
GenderFemale
SpecialityCounselor - Mental Health
Location560 Se Port St Lucie Blvd, Port St Lucie, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1669675369
  • Provider Enumeration Date: 06/08/2007
  • Last Update Date: 08/31/2007

Medical Identifiers

Medical identifiers for Ms Sandra Jones Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669675369NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health PMH 729 (Florida)Primary
101YP2500XCounselor - Professional LC1622 (Maryland)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Sandra Jones Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Sandra Jones Jackson, LCPC, PROV LMHC
560 Se Port St Lucie Blvd,
Port St Lucie, FL 34984-5108

Ph: (772) 873-8305
Ms Sandra Jones Jackson, LCPC, PROV LMHC
560 Se Port St Lucie Blvd,
Port St Lucie, FL 34984-5108

Ph: (772) 873-8305

Reviews and Comments


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