Individual provider · Type 1 NPI

Ashley Jackson

Addiction (Substance Use Disorder) Counselor · Ceres, CA

NPI number 1861372948 Active

Practice location

1904 Richland Ave
Ceres, CA 95307-4562

Mailing address

3021 Mars Hill St
Modesto, CA 95355-7801

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X22343 (CA)

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

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About NPI 1861372948

Ashley Jackson's National Provider Identifier is 1861372948, issued on Sep 8, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ceres, CA. The record was last updated on Sep 8, 2025.