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MISS SELENA JACKSON BREININGINSTITUTE
NPI 1386810208
Counselor - Addiction (Substance Use Disorder) in Lakeport, CA

Active since April 30, 2008
390 N FORBES ST, LAKEPORT, CA 95453(707) 994-5486 Get Directions Write a Review

NPPES record last updated: May 2, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miss Selena Jackson Breininginstitute NPPES

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

MISS SELENA JACKSON BREININGINSTITUTE (NPI 1386810208) is an individual addiction (substance use disorder) provider in Lakeport, California, licensed in California (RI-J0803091809) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1386810208
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMISS SELENA JACKSONCredential: BREININGINSTITUTE
Location Address390 N FORBES STLakeport, CA 95453-4724
Mailing AddressPo Box 2077Ukiah, CA 95482-2077 · (707) 467-2010
Phone(707) 994-5486
Sole ProprietorYes
Enumeration DateApril 30, 2008
Last NPPES UpdateMay 2, 2017
✔ NPI 1386810208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · RI-J0803091809
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
390 N FORBES ST, Lakeport, CA 95453
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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 Selena Jackson's NPI number?

The NPI number for Selena Jackson is 1386810208. It was assigned to this individual provider in the NPPES registry on April 30, 2008.

Where is Selena Jackson located?

Selena Jackson practices at 390 N Forbes St, Lakeport, CA 95453. The listed phone number is (707) 994-5486.

What is Selena 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 Selena Jackson was last updated on May 2, 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.