MR. EDWARD JACKSON
NPI 1083816326
Counselor - Addiction (Substance Use Disorder) in Oakland, CA

Active since May 31, 2007
3007 TELEGRAPH AVE, OAKLAND, CA 94609(510) 433-1500(510) 433-1526 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Edward Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. EDWARD JACKSON (NPI 1083816326) is an individual addiction (substance use disorder) provider in Oakland, California and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1083816326
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. EDWARD JACKSON
Location Address3007 TELEGRAPH AVEOakland, CA 94609-3205
Mailing Address3007 Telegraph AveOakland, CA 94609-3205 · (510) 433-1500 · Fax (510) 433-1526
Fax(510) 433-1526
Sole ProprietorNo
Enumeration DateMay 31, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1083816326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
3007 TELEGRAPH AVE, Oakland, CA 94609

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
3007 TELEGRAPH AVE
OAKLAND, CA 94609
Marriage & Family Therapist
3007 TELEGRAPH AVE
OAKLAND, CA 94609
Public Health or Welfare
3007 TELEGRAPH AVE
OAKLAND, CA 94609
Social Worker (Clinical)
3007 TELEGRAPH AVE
OAKLAND, CA 94609
Massage Therapist
3007 TELEGRAPH AVE
OAKLAND, CA 94609
Registered Nurse
3007 TELEGRAPH AVE
OAKLAND, CA 94609
Occupational Therapist (Physical Rehabilitation)
3007 TELEGRAPH AVE
OAKLAND, CA 94609
Counselor (Addiction (Substance Use Disorder))
3007 TELEGRAPH AVE
OAKLAND, CA 94609

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Jackson's NPI number?

The NPI number for Edward Jackson is 1083816326. It was assigned to this individual provider in the NPPES registry on May 31, 2007.

Where is Edward Jackson located?

Edward Jackson practices at 3007 Telegraph Ave, Oakland, CA 94609. The listed phone number is (510) 433-1500.

What is Edward Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Edward Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.