Ms. Candis L Jackson is a Port Charlotte, Florida based counselor who is specialized as Mental Health Counselor. Active license number of Ms. Candis L Jackson is MH4441 for Mental Health Counselor in Florida. Her current practice location is 4161 Tamiami Trl Ste 304d, Port Charlotte. Patients can book an appointment with her at 941-625-5895.
Ms. Candis L Jackson is a licensed professional who helps individuals, couples, and families manage and overcome emotional, psychological, and behavioral challenges. She assess clients’ mental health conditions and develop personalized treatment plans to provide therapy for a range of mental health issues, including anxiety, depression, trauma, relationship issues, stress, grief, and life transitions.
Complete Profile:
Ms. Candis L Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Ms. Candis L Jackson
Specialization:
Mental Health Counselor
Gender:
Female
Credentials:
LMHC
Accepts Medicare Assignment:
No
Practice Address:
4161 Tamiami Trl Ste 304d, Port Charlotte, Florida, 33952-9254
Phone:
941-625-5895
Fax:
941-625-1047
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1104004746
NPI Enumeration Date:
06 Feb, 2008
NPI Last Update On:
07 May, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Candis L Jackson are as mentioned below.
License Number
Specialization
State
Status
MH4441
Mental Health Counselor
Florida
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Candis L Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
116480500
Medicaid
Florida
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 512139, Punta Gorda, Florida
Zip:
33951-2139
Phone Number:
941-625-5895
Fax Number:
941-625-1047
Patients can reach Ms. Candis L Jackson at 4161 Tamiami Trl Ste 304d, Port Charlotte, Florida or can call to book an appointment on 941-625-5895. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.