Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anquanette Jackson

Individual provider Counselor · NPI 1679087282

Anquanette Jackson is a Counselor in South Daytona, Florida. Works from 2 locations. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

2400 S Ridgewood Ave
South Daytona, FL 32119-3097
Phone: (305) 928-0167
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 579 Lagorce Ter, Deltona, FL 32738-8973 — (305) 928-0167

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1679087282
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 20, 2017
Last updated in NPPESMarch 17, 2018
Mailing address579 Lagorce Ter, Deltona, FL 32738-8973

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