Shasa Jackson, LCSW, DBH

NPI 1013640036 · on the registry since 2022

Practice

Address: 950 E Van Buren St
Avondale, AZ 85323
Phone: (623) 344-6860
Fax: (602) 655-9682
Organisation at this address: Maricopa County Special Health Care District
Maricopa County Special Health Care District
Maricopa County Special Health Care District
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-07-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona