Individual provider · Type 1 NPI

Shawn Thomas Jackson

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1679497010 Active

Practice location

5889 E Ramona Ave
Fresno, CA 93727-7951

Call (559) 367-1262 Map

Specialties and licenses

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

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

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About NPI 1679497010

Shawn Thomas Jackson's National Provider Identifier is 1679497010, issued on Aug 7, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fresno, CA. The record was last updated on Aug 7, 2026.