Individual
SARAH JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 LUDINGTON ST STE H, ESCANABA, MI 49829-3565
(906) 789-3528
Mailing address
97 S 4TH ST, ISHPEMING, MI 49849-2168
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/29/2023
Last updated
11/15/2023
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