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FREDERICK JACKSON
NPI 1225574759
Counselor - Addiction (Substance Use Disorder) in Concord, CA

Active since January 08, 2017
2090 COMMERCE AVE, CONCORD, CA 94520(925) 676-2580(925) 798-3359 Get Directions Write a Review

NPPES record last updated: January 8, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Frederick Jackson NPPES

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

FREDERICK JACKSON (NPI 1225574759) is an individual addiction (substance use disorder) provider in Concord, California, licensed in California (R1239870916) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1225574759
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameFREDERICK JACKSON
Location Address2090 COMMERCE AVEConcord, CA 94520-4902
Mailing Address2090 Commerce AveConcord, CA 94520-4902 · (925) 676-2580 · Fax (925) 798-3359
Phone(925) 676-2580
Fax(925) 798-3359
Sole ProprietorNo
Enumeration DateJanuary 8, 2017
✔ NPI 1225574759 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 · R1239870916
2090 COMMERCE AVE, Concord, CA 94520
Open in Google Maps ↗

Other Identifiers 1

OtherR1239870916CA · Ccapp

Other Providers at the Same Location NPPES 20

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

NOU THAO
Counselor
2090 COMMERCE AVE
CONCORD, CA 94520
Contra Costa County (925) 676-2580
ARMANDO DIAZ 16788-RAC
Counselor (Addiction (Substance Use Disorder))
2090 COMMERCE AVE
CONCORD, CA 94520
Contra Costa County (925) 676-2580
MR. VENNY MONDRAGON
Counselor (Addiction (Substance Use Disorder))
2090 COMMERCE AVE
CONCORD, CA 94520
Contra Costa County (925) 676-2580
MRS. NATALIE K PERRY-MATZKE
Counselor (Addiction (Substance Use Disorder))
2090 COMMERCE AVE
CONCORD, CA 94520
Contra Costa County (925) 685-9550
JOHN DAVID TAFOYA I
Counselor
2090 COMMERCE AVE
CONCORD, CA 94520
Contra Costa County (925) 676-2580
JUAN GOMEZ CAADE CATC
Counselor (Mental Health)
2090 COMMERCE AVE
CONCORD, CA 94520
Contra Costa County (925) 676-2580
DOUGLAS RIVAS
Counselor (Addiction (Substance Use Disorder))
2090 COMMERCE AVE
CONCORD, CA 94520
Contra Costa County (925) 497-1996
MIGUEL ANGEL HENRIQUEZ SUDRC I
Counselor (Addiction (Substance Use Disorder))
2090 COMMERCE AVE
CONCORD, CA 94520
Contra Costa County (925) 676-2580

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 Frederick Jackson's NPI number?

The NPI number for Frederick Jackson is 1225574759. It was assigned to this individual provider in the NPPES registry on January 8, 2017.

Where is Frederick Jackson located?

Frederick Jackson practices at 2090 Commerce Ave, Concord, CA 94520. The listed phone number is (925) 676-2580.

What is Frederick 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 Frederick Jackson was last updated on January 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.