Provider Demographics
NPI:1992388862
Name:SAILORS, JAMIE JEAN (MS PHD)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:JEAN
Last Name:SAILORS
Suffix:
Gender:F
Credentials:MS PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 TESSIE DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONS GAP
Mailing Address - State:AL
Mailing Address - Zip Code:36861-2522
Mailing Address - Country:US
Mailing Address - Phone:334-728-1336
Mailing Address - Fax:
Practice Address - Street 1:103 TESSIE DR
Practice Address - Street 2:
Practice Address - City:JACKSONS GAP
Practice Address - State:AL
Practice Address - Zip Code:36861-2522
Practice Address - Country:US
Practice Address - Phone:334-728-1336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-29
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL374106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist