Individual provider · Type 1 NPI

Anthony Jackson

Addiction (Substance Use Disorder) Counselor · Sacramento, CA

NPI number 1396324554 Active

Practice location

1550 Juliesse Ave
Sacramento, CA 95815-1803

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X16268 (CA)

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

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About NPI 1396324554

Anthony Jackson's National Provider Identifier is 1396324554, issued on Apr 5, 2021. 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 Oct 5, 2025.