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

Deja Jackson

Individual provider Mental Health Counselor · NPI 1114760774

Deja Jackson is a Mental Health Counselor in Sanford, Florida. Licensed in Florida. Registered with an NPI since 2024.

Licensed in
FL
In the registry since
2024

Practice location Address checks out

2425 S Park Ave
Sanford, FL 32771-4419
Phone: (689) 247-7243
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence IMH25319 (FL)

Record details

NPI number1114760774
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 13, 2024
Last updated in NPPESJune 13, 2024
Certification dateJune 13, 2024
Mailing address417 Abbeywood Ln, Casselberry, FL 32707-5933

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