MS. SANDRA J JACKSON LCAC CADAC IV NADAC
NPI 1124449053
Counselor - Addiction (Substance Use Disorder) in South Bend, IN
About Ms. Sandra J Jackson Lcac Cadac Iv Nadac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. SANDRA J JACKSON LCAC CADAC IV NADAC (NPI 1124449053) is an individual addiction (substance use disorder) provider in South Bend, Indiana, licensed in Indiana (88000353A) and active in the NPI registry since December 2013.Information from the official NPPES registry record, last updated December 19, 2013.
NPPES Registry Identity
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124449053, enumerated as an "individual" on December 19, 2013.
The provider is located at 4218 WESTERN AVE. SOUTH BEND, IN 46619 and the phone number is (574) 233-1524.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).