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

Individual provider Mental Health Counselor · NPI 1639828429

Tamara Ann Jackson, MASTERS is a Mental Health Counselor in St Petersburg, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2022
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Practice location Address checks out

4024 Central Ave
St Petersburg, FL 33711-1239
Phone: (727) 327-7656
Fax: (727) 322-2130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X (FL)

Record details

NPI number1639828429
Entity typeIndividual (Type 1)
GenderFemale
Credentials MASTERS
Sole proprietorYes
NPI enumeratedMarch 21, 2022
Last updated in NPPESMarch 21, 2022
Certification dateMarch 21, 2022

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