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
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 16268 (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.