Derda Jackson's National Provider Identifier (NPI) Details
Derda Jackson, LMHC
NPI: 1154016863
Enumeration Date: 2023-04-07
Last updated: 2023-04-07
Sole Proprietor: YES
Status: active
Postal Address: 8773 WHISPERING PINES DR, JACKSONVILLE, FL
Phone: 904-776-1061
Primary Practice Address: 8773 WHISPERING PINES DR, JACKSONVILLE, FL
Practice's phone: 904-776-1061