Search › Florida › 1041C0700X
Kandi Jackson, LCSW, CCM
NPI 1467955567 · on the registry since 2018 · sole proprietor
Practice
- Address
- 10852 Lem Turner Rd
Jacksonville, FL 32218 - Phone
- (904) 710-0625
- Organisation at this address
- Serenity Therapeutic Counseling Place
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 5836 Copper Creek Dr, Jacksonville, FL
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 171M00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-04-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida