Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. CANDIS L JACKSON, LMHC
ActiveMental Health Counselor · PORT CHARLOTTE, FL
Registration Details
- NPI Number
- 1104004746
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 6, 2008 (18.265353819574 yrs)
- Last Updated
- May 7, 2024
- License
-
MH4441 (FL)
Practice Information
- Address
-
4161 TAMIAMI TRL STE 304DPORT CHARLOTTE, FL, 339529254Browse FL providers · Browse ZIP 33952
- Phone
- 9416255895
- Fax
- 9416251047
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in PORT CHARLOTTE, FL
| Name | Credential | NPI |
|---|---|---|
| JOANNE CRANDALL | LMHC | 1811938848 |
| MS. ANNETTE FIEDLER | LMHC | 1598832529 |
| MS. RANDY M CISNE | LMHC | 1679638365 |
| MRS. MARIAN P CHILDS | MS LCADC | 1295882827 |
| MRS. BARBARA FARLOW | LMHC | 1518019165 |
| MS. THERESE REYNOLDS | LHMC | 1811049489 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.