Jackson, Sandra Jones

Jackson, Sandra Jones is an sole proprietor health care provider with primary practice located at 560 Se Port St Lucie Blvd , Port St Lucie FL 34984-5108. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Jackson, Sandra Jones can be contacted via phone (772) 873-8305.

Contact Information

Primary practice address
560 Se Port St Lucie Blvd Port St Lucie FL 34984-5108
Phone: (772) 873-8305
Fax: (772) 873-8307
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X PMH 729 Florida
Behavioral Health & Social Service Providers / Professional 101YP2500X LC1622 Maryland

Profile Details

NPI number 1669675369
LBN Legal business name Jackson, Sandra Jones
Credentials LCPC, PROV LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2007
Last updated Aug 31st, 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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