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

Antionette Marie Jackson

Individual provider Counselor · NPI 1649864885

Antionette Marie Jackson is a Counselor in Crawfordville, Florida. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3

Practice location Address checks out

110 Melaleuca Dr
Crawfordville, FL 32327-4963
Phone: (850) 617-9167
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Counselor Taxonomy 101Y00000X
Professional Counselor Taxonomy 101YP2500X

Record details

NPI number1649864885
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 1, 2021
Last updated in NPPESMarch 1, 2021
Certification dateMarch 1, 2021

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