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MR. PAUL A JACKSON JR. MA
NPI 1609005172
Counselor in Sacramento, CA

Active since July 06, 2009
5117 ANDREA BLVD, SUITE 86, SACRAMENTO, CA 95842(480) 322-9955 Get Directions Write a Review

NPPES record last updated: December 5, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Paul A Jackson Jr. Ma NPPES

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

MR. PAUL A JACKSON JR. MA (NPI 1609005172) is an individual counselor in Sacramento, California and active in the NPI registry since July 2009.

NPPES Registry Identity

NPI1609005172
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. PAUL A JACKSON JR.Credential: MA
Location Address5117 ANDREA BLVD, SUITE 86Sacramento, CA 95842-2518
Mailing Address5117 Andrea Blvd, Suite 86Sacramento, CA 95842-2518 · (480) 322-9955
Phone(480) 322-9955
Sole ProprietorNo
Enumeration DateJuly 6, 2009
Last NPPES UpdateDecember 5, 2014
✔ NPI 1609005172 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.
5117 ANDREA BLVD, Sacramento, CA 95842
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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 Paul Jackson's NPI number?

The NPI number for Paul Jackson is 1609005172. It was assigned to this individual provider in the NPPES registry on July 6, 2009.

Where is Paul Jackson located?

Paul Jackson practices at 5117 Andrea Blvd Suite 86, Sacramento, CA 95842. The listed phone number is (480) 322-9955.

What is Paul 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 Paul Jackson was last updated on December 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.