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STANFORD JACKSON CATCII
NPI 1154668671
Counselor - Addiction (Substance Use Disorder) in Long Beach, CA

Active since January 04, 2013
2008 PACIFIC AVE, LONG BEACH, CA 90806(562) 591-0011 Get Directions Write a Review

NPPES record last updated: January 4, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stanford Jackson Catcii NPPES

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

STANFORD JACKSON CATCII (NPI 1154668671) is an individual addiction (substance use disorder) provider in Long Beach, California, licensed in California (123332 II) and active in the NPI registry since January 2013.

NPPES Registry Identity

NPI1154668671
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameSTANFORD JACKSONCredential: CATCII
Location Address2008 PACIFIC AVELong Beach, CA 90806-4610
Mailing Address1763 Pine AveLong Beach, CA 90813-1823 · (562) 253-6594
Phone(562) 591-0011
Sole ProprietorYes
Enumeration DateJanuary 4, 2013
✔ NPI 1154668671 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
License✔ Licensed in CA · 123332 II
2008 PACIFIC AVE, Long Beach, CA 90806
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Other Providers at the Same Location NPPES 12

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

STACEY CANNON
Counselor (Addiction (Substance Use Disorder))
2008 PACIFIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 591-0011
MR. WILLIE DANIEL DUCKSWORTH
Counselor (Addiction (Substance Use Disorder))
2008 PACIFIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 591-0011
WEST COAST COUNSELING SERVICES, INC
Public Health or Welfare
2008 PACIFIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 424-6531
LEONARD WILLIAM OLIVAS
Counselor (Addiction (Substance Use Disorder))
2008 PACIFIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 591-0011
GEORGINA PATRICIA ALVAREZ MEDICAL ASSISTANT
Counselor (Addiction (Substance Use Disorder))
2008 PACIFIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 591-0011
MS. JUANITA ANTIPORDA
Counselor (Addiction (Substance Use Disorder))
2008 PACIFIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 591-0011
DAVID WAYNE TALBOTT
Counselor (Addiction (Substance Use Disorder))
2008 PACIFIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 591-0011
ROSA MORENO
Counselor (Addiction (Substance Use Disorder))
2008 PACIFIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 591-0011

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 Stanford Jackson's NPI number?

The NPI number for Stanford Jackson is 1154668671. It was assigned to this individual provider in the NPPES registry on January 4, 2013.

Where is Stanford Jackson located?

Stanford Jackson practices at 2008 Pacific Ave, Long Beach, CA 90806. The listed phone number is (562) 591-0011.

What is Stanford 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 Stanford Jackson was last updated on January 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.