person
Ms. Sandra J Jackson, LCACCADACIVNADAC
Addiction (Substance Use Disorder) Counselor in South Bend, Indiana
NPI 1124449053

Sandra J Jackson is an Addiction (Substance Use Disorder) Counselor based in South Bend, IN and is specialized in Addiction (Substance Use Disorder). Sandra J Jackson practices in South Bend, IN and has the professional credentials of LCACCADACIVNADAC. The NPI Number for Sandra J Jackson is 1124449053 and holds a License No. 88000353A (Indiana).

The current practice location address for Sandra J Jackson is 4218 Western Ave., South Bend, IN and can be reached out via phone at 574-233-1524.

Location: 4218 Western Ave., South Bend, IN, 46619
person
Provider Profile Details
NPI Number
1124449053
Provider Name
Sandra J Jackson
Credential
LCACCADACIVNADAC
Provider Entity Type
Individual
Gender
Female
Address
4218 Western Ave., South Bend, IN, 46619
Phone Number
574-233-1524
Fax Number
Provider Enumeration Date
12/19/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4218 Western Ave.
City
State
Zip
46619
Phone Number
574-233-1524
Fax Number
person
Provider Business Mailing Address Details
Address
4218 Western Ave.
City
State
Zip
46619
Phone Number
574-233-1524
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
88000353A (Indiana)
Definition
Definition to come...
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