Individual
SARA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
4810 STATE AVE, KANSAS CITY, KS 66102-1748
(816) 221-0305
(816) 221-9121
Mailing address
7129 PENNSYLVANIA AVE, KANSAS CITY, MO 64114
(816) 589-8719
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAC00802
KS
Other
Enumeration date
07/02/2020
Last updated
09/11/2025
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