MEDICARE: JAMIE JEAN SAILORS MS PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	374	AL

General Provider Information

NPI Number	:	1992388862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE JEAN SAILORS MS PHD

Provider Business Mailing Address
First Line	:	103 TESSIE DR
Second Line	:
City	:	JACKSONS GAP
State	:	AL
Zip	:	36861-2522
Country	:	US
Telephone Number	:	334-728-1336
Fax Number	:

Provider Business Practice Location Address
First Line	:	103 TESSIE DR
Second Line	:
City	:	JACKSONS GAP
State	:	AL
Zip	:	36861-2522
Country	:	US
Telephone Number	:	334-728-1336
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2021
Last Update Date	:	04/29/2021

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