Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAM JACKSON, LAC
ActiveSAM JACKSON, LAC is a Counselor healthcare provider located in MESA, Arizona. NPI 1851750061 is currently active in the NPPES registry. Verify at CMS.
Counselor · MESA, AZ
Registration Details
- NPI Number
- 1851750061
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 16, 2016 (10.4967102038 yrs)
- Last Updated
- Feb 16, 2016
- License
-
LAC-15314 (AZ)
Practice Information
- Address
-
4250 E FLORIAN AVEBUILDING #1MESA, AZ, 852062797Browse AZ providers · Browse ZIP 85206
- Phone
- 4808441653
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in MESA, AZ
| Name | Credential | NPI |
|---|---|---|
| KAREN L BISCHOFF | LPC | 1699791087 |
| MS. RANDI MICHELLE ROGGEMAN | LPC | 1104982859 |
| PRISCILLA ANNE GOODWIN | PROF. FOSTER HOME | 1669528949 |
| DR. LISA LOREE GOLD | PH.D. | 1013056696 |
| MRS. LORRAINE EDYTHE EBRIGHT | MC MASTERS IN COUNSE | 1972638351 |
| ANITA K MARPLE | LAC | 1104044817 |
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.