Ms. Candis L Jackson
LMHC | Mental Health Counselor
4161 Tamiami Trl Ste 304d, Port Charlotte
Florida, 33952-9254
941-625-5895 941-625-1047
Maps & DirectionsMs. 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.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.