Henry, Sandra Jackson

Henry, Sandra Jackson is an individual health care provider with primary practice located at 879 Ne Main St Ste A , Simpsonville SC 29681-2056. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Henry, Sandra Jackson can be contacted via phone (864) 688-9416.

Contact Information

Primary practice address
879 Ne Main St Ste A Simpsonville SC 29681-2056
Fax: (844) 300-6266
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 8841 South Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 8841 South Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 8841 South Carolina

Profile Details

NPI number 1124476510
LBN Legal business name Henry, Sandra Jackson
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2016
Last updated Aug 4th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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