Collins-Jackson, Sandra

Collins-Jackson, Sandra is an sole proprietor health care provider with primary practice located at 104 Center Ave Suite 201A, Kodiak AK 99615-6393. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Collins-Jackson, Sandra can be contacted via phone (907) 486-2632.

Contact Information

Primary practice address
104 Center Ave Suite 201A Kodiak AK 99615-6393
Phone: (907) 486-2632
Fax: (907) 486-2732
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X AA 309 Alaska

Profile Details

NPI number 1518025733
LBN Legal business name Collins-Jackson, Sandra
Credentials MS, LPC, CPRP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2006
Last updated Apr 8th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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