MS. Sandra J Jackson, LCACCADACIVNADAC
MS. Sandra J Jackson, LCACCADACIVNADAC is an Addiction (Substance Use Disorder) Counselor in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2013.
- Licensed in
- IN
- In the registry since
- 2013
Practice location Address checks out
4218 Western AveSouth Bend, IN 46619
Phone: (574) 233-1524
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 88000353A (IN) |
|---|
Record details
| NPI number | 1124449053 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LCACCADACIVNADAC |
| Sole proprietor | No |
| NPI enumerated | December 19, 2013 |
| Last updated in NPPES | December 19, 2013 |
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