MS. Sandra J Jackson LCAC CADAC IV NADAC

  • NPI 1124449053
According to our database, the NPI number for MS. Sandra J Jackson LCAC CADAC IV NADAC is 1124449053 and activated since 10 years ago. MS. Sandra J Jackson LCAC CADAC IV NADAC is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 4218 Western Ave., South Bend, IN 46619. You can also contact MS. Sandra J Jackson LCAC CADAC IV NADAC via telephone number is (574) 233-1524. Provider NPI information was last updated on 12/19/2013.

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Overview of MS. Sandra J Jackson LCAC CADAC IV NADAC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 12/19/2013
  • Last updated: 12/19/2013

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 88000353A
  • License State: IN

Provider Mailing Address

  • Address: 4218 Western Ave.
    South Bend, IN 46619
  • Phone: 574-274-1524
  • Fax: 574-274-1612

Provider Practice Location

  • Address: 4218 Western Ave.
    South Bend, IN 46619
  • Phone: 574-233-1524
  • Fax:

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 88000353A
  • License State: IN
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MS. Sandra J Jackson LCAC CADAC IV NADAC?
  • A: The npi number for MS. Sandra J Jackson LCAC CADAC IV NADAC is 1124449053.
  • Q: What are MS. Sandra J Jackson LCAC CADAC IV NADAC's specialties?
  • A: MS. Sandra J Jackson LCAC CADAC IV NADAC's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for MS. Sandra J Jackson LCAC CADAC IV NADAC?
  • A: The medical license number for MS. Sandra J Jackson LCAC CADAC IV NADAC is 88000353A and issued in IN in USA.
  • Q: Where is MS. Sandra J Jackson LCAC CADAC IV NADAC practice location?
  • A: MS. Sandra J Jackson LCAC CADAC IV NADAC is practicing at 4218 Western Ave., South Bend, IN 46619.
  • Q: How to contact MS. Sandra J Jackson LCAC CADAC IV NADAC?
  • A: You can contact MS. Sandra J Jackson LCAC CADAC IV NADAC via 574-233-1524.
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