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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANQUANETTE JACKSON

Active

ANQUANETTE JACKSON is a Counselor healthcare provider located in SOUTH DAYTONA, Florida. NPI 1679087282 is currently active in the NPPES registry. Verify at CMS.

Counselor · SOUTH DAYTONA, FL

Registration Details

NPI Number
1679087282
Provider Type
Individual
Gender
Female
NPI Issued
Nov 20, 2017 (8.7179143529437 yrs)
Last Updated
Mar 17, 2018

Practice Information

Address
2400 S RIDGEWOOD AVE
SOUTH DAYTONA, FL, 321193097
Browse FL providers · Browse ZIP 32119
Phone
3059280167
Primary Specialty
Counselor
101Y00000X

Other Counselor Providers in SOUTH DAYTONA, FL

Name Credential NPI
MS. CHRISTINE ANNETTE MOZZILLO COX M ED. 1922308279
MAYSIA S ALLEN MS, CAP 1164764023
MS. SAMANTHA REY ARZON M.ED. 1972912525
CHRISTINA MILAZZO 1346628872
CHARITY ANN CLARK 1558804690
BONNIE STANFORD 1679016455
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.