Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. SANDRA J JACKSON, LCAC CADAC IV NADAC
ActiveAddiction (Substance Use Disorder) Counselor · SOUTH BEND, IN
Registration Details
- NPI Number
- 1124449053
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 19, 2013 (12.347104954873 yrs)
- Last Updated
- Dec 19, 2013
- License
-
88000353A (IN)
Practice Information
- Address
-
4218 WESTERN AVE.SOUTH BEND, IN, 46619Browse IN providers · Browse ZIP 46619
- Phone
- 5742331524
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in SOUTH BEND, IN
| Name | Credential | NPI |
|---|---|---|
| MRS. ERIN T. LACOURT | LAC | 1386858629 |
| MS. PEARL A. ANDERSON | ACIT | 1174738439 |
| SUSAN K HENDERSON | LAC | 1225310402 |
| CHRISTINE NOWAK | M.ED | 1386981124 |
| ROLANDO A SOSA GRANADOS | LCAC, MSW | 1942648456 |
| MISS PATRICIA ANN MILLER | ACIT | 1902227911 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.