Mrs Candice S Jackson, LMFT is a
Marriage & Family Therapist based in Dunnellon, Florida. Mrs Candice S Jackson is licensed to practice in Florida (license number MT4958) and her current practice location is
11026 Sw 110th Ave, Dunnellon, Florida. She can be reached at her office (for appointments etc.) via phone at
(352) 208-1458.
NPI number for Mrs Candice S Jackson is 1952955924 and her current mailing address is 11026 Sw 110th Ave, Dunnellon, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952955924.
Healthcare Provider's Profile
Full Name | Mrs Candice S Jackson |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 11026 Sw 110th Ave, Dunnellon, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1952955924
- Provider Enumeration Date: 07/29/2019
- Last Update Date: 08/09/2024
Medical Identifiers
Medical identifiers for Mrs Candice S Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952955924 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | MT4958 (Florida) | Primary |
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. Mrs Candice S 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 Address | Practice Location Address |
Mrs Candice S Jackson, LMFT 11026 Sw 110th Ave, Dunnellon, FL 34432-5581 Ph: (352) 208-1458 | Mrs Candice S Jackson, LMFT 11026 Sw 110th Ave, Dunnellon, FL 34432-5581 Ph: (352) 208-1458 |
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