SAMIA JACKSON B.S. - NPI 1366007098 - Counselor in Jacksonville, FL

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

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About Samia Jackson B.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMIA JACKSON B.S. (NPI 1366007098) is an individual counselor in Jacksonville, Florida and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1366007098

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameSAMIA JACKSONCredential: B.S.

Location Address1225 W BEAVER ST STE 205Jacksonville, FL 32204-1416

Mailing Address1225 W Beaver St Ste 205Jacksonville, FL 32204-1416 · (904) 712-3540 · Fax (904) 775-3570

Phone(904) 712-3540

Fax(904) 775-3570

Sole ProprietorNo

Enumeration DateMay 8, 2019

✔ NPI 1366007098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

1225 W BEAVER ST STE 205, Jacksonville, FL 32204

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