Jackson, Sandra

Jackson, Sandra is an sole proprietor health care provider with primary practice located at 2750 N Lakeview Dr , Warsaw IN 46582-8408. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Jackson, Sandra can be contacted via phone (157) 485-8904.

Contact Information

Primary practice address
2750 N Lakeview Dr Warsaw IN 46582-8408
Phone: (157) 485-8904
Fax: (157) 485-8904
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34000694A Indiana
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 35000319A Indiana

Profile Details

NPI number 1326195959
LBN Legal business name Jackson, Sandra
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2007
Last updated Jul 8th, 2007 - about 17 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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