Jackson, Sarah C

Jackson, Sarah C is an individual health care provider with primary practice located at 3660 Boulevard Suite A, Colonial Heights VA 23834-1345. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Jackson, Sarah C can be contacted via phone (804) 520-7210.

Contact Information

Primary practice address
3660 Boulevard Suite A Colonial Heights VA 23834-1345
Phone: (804) 520-7210
Fax: (804) 520-8953
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904003115 Virginia
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0710000240 Virginia

Profile Details

NPI number 1336172287
LBN Legal business name Jackson, Sarah C
Credentials LCSW, CSAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Apr 29th, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1336172287 NPPES
Virginia Other 086361 SENTARA
Virginia MEDICAID 4945280 SENTARA
Virginia Other 258581 SENTARA

Popular Providers