MRS. CONSUELO M BRADFORD-JACKSON
NPI 1578740395
Counselor - Addiction (Substance Use Disorder) in Antioch, CA

Active since January 23, 2008
5119 LONE TREE WAY, ANTIOCH, CA 94531(415) 762-3700(415) 865-0119 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Consuelo M Bradford-jackson NPPES

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

MRS. CONSUELO M BRADFORD-JACKSON (NPI 1578740395) is an individual addiction (substance use disorder) provider in Antioch, California and active in the NPI registry since January 2008. She maintains a secondary practice location in San Francisco.

NPPES Registry Identity

NPI1578740395
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. CONSUELO M BRADFORD-JACKSON
Location Address5119 LONE TREE WAYAntioch, CA 94531-8484
Mailing Address1563 Mission StSan Francisco, CA 94103-2543 · (415) 762-3700 · Fax (415) 865-0119
Fax(415) 865-0119
Sole ProprietorNo
Enumeration DateJanuary 23, 2008
Last NPPES UpdateAugust 12, 2022
NPPES CertifiedAugust 12, 2022
NPI 1578740395 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
5119 LONE TREE WAY, Antioch, CA 94531

Secondary Practice Location 1

Location 11275 Mission StSan Francisco, CA 94103-2705 · Phone (415) 358-2737 · Fax (415) 358-2729

Other Providers at the Same Location NPPES

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

Case Management
5119 LONE TREE WAY
ANTIOCH, CA 94531

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 Consuelo Bradford-jackson's NPI number?

The NPI number for Consuelo Bradford-jackson is 1578740395. It was assigned to this individual provider in the NPPES registry on January 23, 2008.

Where is Consuelo Bradford-jackson located?

Consuelo Bradford-jackson practices at 5119 Lone Tree Way, Antioch, CA 94531. The listed phone number is (415) 762-3700.

What is Consuelo Bradford-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 Consuelo Bradford-jackson was last updated on August 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.