Healthcare Provider Details

I. General information

NPI: 1710899539
Provider Name (Legal Business Name): SARAH CATHERINE JANG M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4686 SUNBEAM RD
JACKSONVILLE FL
32257-6189
US

IV. Provider business mailing address

4686 SUNBEAM RD
JACKSONVILLE FL
32257-6189
US

V. Phone/Fax

Practice location:
  • Phone: 904-302-5340
  • Fax:
Mailing address:
  • Phone: 904-302-5340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number29822
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: