Individual provider · Type 1 NPI

Tandreya Jackson

Rehabilitation Practitioner · Vallejo, CA

NPI number 1730637125 Active

Practice location

160 Glen Cove Marina Rd E Ste 102
Vallejo, CA 94591-7290

Call (707) 648-2000 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor 101YM0800XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1730637125

Tandreya Jackson's National Provider Identifier is 1730637125, issued on Sep 14, 2016. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Vallejo, CA. The record was last updated on Apr 3, 2026.