Individual
SANDRA EVANS JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1035 DIRECTOR CT, SUITE C, GREENVILLE, NC 27858-5996
(252) 215-9011
Mailing address
2810 BELLS FORK RD, GREENVILLE, NC 27858-8083
(252) 353-7969
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A9791
NC
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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