Jackson, Taveka L

Jackson, Taveka L is an sole proprietor health care provider with primary practice located at 648 Florida Ave , Panama City FL 32401-6311. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Jackson, Taveka L can be contacted via phone (850) 769-6001.

Contact Information

Primary practice address
648 Florida Ave Panama City FL 32401-6311
Phone: (850) 769-6001
Fax: (850) 769-6003
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH9800 Florida
Behavioral Health & Social Service Providers / School 101YS0200X Florida

Profile Details

NPI number 1790919199
LBN Legal business name Jackson, Taveka L
Credentials MS, LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 13th, 2009
Last updated May 13th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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