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GAIL M JACKSON MA
NPI 1417037185
Counselor - Addiction (Substance Use Disorder) in Philadelphia, PA

Active since October 17, 2006
BELMONT CENTER, 4200 MONUMENT ROAD, PHILADELPHIA, PA 19131(215) 581-5479(215) 581-3827 Get Directions Write a Review

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

About Gail M Jackson Ma NPPES

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

GAIL M JACKSON MA (NPI 1417037185) is an individual addiction (substance use disorder) provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PC001382) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1417037185
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameGAIL M JACKSONCredential: MA
Location AddressBELMONT CENTER, 4200 MONUMENT ROADPhiladelphia, PA 19131
Mailing Address600 Portland DrDowningtown, PA 19335-4816 · (215) 581-5479
Phone(215) 581-5479
Fax(215) 581-3827
Sole ProprietorNo
Enumeration DateOctober 17, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417037185 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 PA · PC001382
BELMONT CENTER, 4200 MONUMENT ROAD, Philadelphia, PA 19131
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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 Gail Jackson's NPI number?

The NPI number for Gail Jackson is 1417037185. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Gail Jackson located?

Gail Jackson practices at Belmont Center, 4200 Monument Road, Philadelphia, PA 19131. The listed phone number is (215) 581-5479.

What is Gail 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 Gail 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.