Individual provider · Type 1 NPI

Porscha Jackson

Addiction (Substance Use Disorder) Counselor · Sacramento, CA

NPI number 1174482715 Active

Practice location

7240 E Southgate Dr Ste C
Sacramento, CA 95823-2627

Call (916) 330-3747 Map

Mailing address

2807 Elvyra Way Apt 202
Sacramento, CA 95821-5877

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

Another provider at this address

Other addiction (substance use disorder) counselor providers in Sacramento

See all in Sacramento →

About NPI 1174482715

Porscha Jackson's National Provider Identifier is 1174482715, issued on Jan 20, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sacramento, CA. The record was last updated on Jan 20, 2026.