Search › Indiana › 101YA0400X
Sandra Jackson, LCAC CADAC IV NADAC
NPI 1124449053 · on the registry since 2013
Practice
- Address
- 4218 Western Ave.
South Bend, IN 46619 - Phone
- (574) 233-1524
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-12-19
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 Indiana