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RUBY LOUISE JACKSON
NPI 1114797735
Counselor - Addiction (Substance Use Disorder) in Fresno, CA

Active since January 04, 2024
2767 N SELLAND AVE, FRESNO, CA 93722(559) 477-3428 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ruby Louise Jackson NPPES

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

RUBY LOUISE JACKSON (NPI 1114797735) is an individual addiction (substance use disorder) provider in Fresno, California and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1114797735
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameRUBY LOUISE JACKSON
Location Address2767 N SELLAND AVEFresno, CA 93722-5284
Mailing Address2767 N Selland AveFresno, CA 93722-5284 · (559) 477-3428
Phone(559) 477-3428
Sole ProprietorNo
Enumeration DateJanuary 4, 2024
NPPES CertifiedJanuary 4, 2024
✔ NPI 1114797735 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
2767 N SELLAND AVE, Fresno, CA 93722
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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 Ruby Jackson's NPI number?

The NPI number for Ruby Jackson is 1114797735. It was assigned to this individual provider in the NPPES registry on January 4, 2024.

Where is Ruby Jackson located?

Ruby Jackson practices at 2767 N Selland Ave, Fresno, CA 93722. The listed phone number is (559) 477-3428.

What is Ruby 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 Ruby Jackson was last updated on January 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.