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

Sam Jackson, LAC

Individual provider Counselor · NPI 1851750061

Sam Jackson, LAC is a Counselor in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2016.

Licensed in
AZ
In the registry since
2016
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

4250 E Florian Ave Bldg #1
Mesa, AZ 85206-2797
Phone: (480) 844-1653
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence LAC-15314 (AZ)

Record details

NPI number1851750061
Entity typeIndividual (Type 1)
GenderMale
Credentials LAC
Sole proprietorNo
NPI enumeratedFebruary 16, 2016
Last updated in NPPESFebruary 16, 2016
Mailing address924 N Country Club Dr, Building #1, Mesa, AZ 85201-4108

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