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MR. COURTNEY LARESIC JACKSON
NPI 1417076241
Counselor in Sacramento, CA

Active since March 29, 2007
608 10TH ST, SACRAMENTO, CA 95814(916) 441-2933 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Courtney Laresic Jackson NPPES

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

MR. COURTNEY LARESIC JACKSON (NPI 1417076241) is an individual counselor in Sacramento, California and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1417076241
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. COURTNEY LARESIC JACKSON
Location Address608 10TH STSacramento, CA 95814-0712
Mailing Address3372 Rivermont StWest Sacramento, CA 95691-5443 · (916) 371-9338
Phone(916) 441-2933
Sole ProprietorNo
Enumeration DateMarch 29, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417076241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
608 10TH ST, Sacramento, CA 95814
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Other Providers at the Same Location NPPES 13

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

DUANE KENNEY NEUMEIER
Case Manager/Care Coordinator
608 10TH ST
SACRAMENTO, CA 95814
Sacramento County (916) 441-2933
MRS. AMANDIP PATARIA YODER
Case Manager/Care Coordinator
608 10TH ST
SACRAMENTO, CA 95814
Sacramento County (916) 441-2933
DON PAUL COONEY
Case Manager/Care Coordinator
608 10TH ST
SACRAMENTO, CA 95814
Sacramento County (916) 441-3819
MR. ANH TRAN-LE MHA III
Case Manager/Care Coordinator
608 10TH ST
SACRAMENTO, CA 95814
Sacramento County (916) 441-3819
LAQUISHA SIMONE SPAGNER
Case Manager/Care Coordinator
608 10TH ST
SACRAMENTO, CA 95814
Sacramento County (916) 448-2781
MRS. MELISSA PENA
Counselor (Mental Health)
608 10TH ST
SACRAMENTO, CA 95814
Sacramento County (718) 730-0735
MAURICIO ESTEBAN VERDUZCO ASW
Social Worker
608 10TH ST
SACRAMENTO, CA 95814
Sacramento County (916) 441-3819
MISS PAMELA F HELM
Counselor (Mental Health)
608 10TH ST
SACRAMENTO, CA 95814
Sacramento County (916) 441-2933

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 Courtney Jackson's NPI number?

The NPI number for Courtney Jackson is 1417076241. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Courtney Jackson located?

Courtney Jackson practices at 608 10th St, Sacramento, CA 95814. The listed phone number is (916) 441-2933.

What is Courtney Jackson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Courtney 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.