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

Jacqueline Tyson

Individual provider Mental Health Counselor · NPI 1225602055

Jacqueline Tyson is a Mental Health Counselor in Jacksonville, Florida. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

3890 Dunn Ave
Jacksonville, FL 32218-6428
Phone: (904) 765-0665
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1225602055
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 17, 2021
Last updated in NPPESMay 17, 2021
Certification dateMay 17, 2021

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