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MR. FLOYD JACKSON
NPI 1639480619
Counselor - Addiction (Substance Use Disorder) in San Rafael, CA

Active since June 24, 2010
171 CARLOS DR, SAN RAFAEL, CA 94903(415) 755-2310(415) 755-2210 Get Directions Write a Review

NPPES record last updated: June 24, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Floyd Jackson NPPES

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

MR. FLOYD JACKSON (NPI 1639480619) is an individual addiction (substance use disorder) provider in San Rafael, California and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1639480619
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. FLOYD JACKSON
Location Address171 CARLOS DRSan Rafael, CA 94903-2005
Mailing Address171 Carlos DrSan Rafael, CA 94903-2005 · (415) 755-2310 · Fax (415) 755-2210
Phone(415) 755-2310
Fax(415) 755-2210
Sole ProprietorNo
Enumeration DateJune 24, 2010
✔ NPI 1639480619 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
171 CARLOS DR, San Rafael, CA 94903
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Other Providers at the Same Location NPPES 17

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

MS. ANNELI KIM RICHARDS MS
Counselor (Mental Health)
171 CARLOS DR, BAY AREA COMMUNITY RESOURCES
SAN RAFAEL, CA 94903
Marin County (415) 444-5580
MR. GARY FEDOROFF
Counselor (Addiction (Substance Use Disorder))
171 CARLOS DR
SAN RAFAEL, CA 94903
Marin County (415) 755-2310
MRS. CARIN GROVE MA, MFT
Counselor (Mental Health)
171 CARLOS DR
SAN RAFAEL, CA 94903
Marin County (415) 444-5580
WENDY ALVAREZ
Counselor (Addiction (Substance Use Disorder))
171 CARLOS DR
SAN RAFAEL, CA 94903
Marin County (415) 755-2310
MICHAEL COLEMAN CADCII CCJP
Counselor (Addiction (Substance Use Disorder))
171 CARLOS DR
SAN RAFAEL, CA 94903
Marin County (415) 444-5580
SUSAN POLLACK LCSW
Social Worker
171 CARLOS DR
SAN RAFAEL, CA 94903
Marin County (415) 755-2385
CHAU TRAN MSW, 2009
Social Worker (School)
171 CARLOS DR
SAN RAFAEL, CA 94903
Marin County (415) 444-5580
LAURA KANTOROWSKI
Psychologist (Counseling)
171 CARLOS DR
SAN RAFAEL, CA 94903
Marin County (415) 755-2328

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 Floyd Jackson's NPI number?

The NPI number for Floyd Jackson is 1639480619. It was assigned to this individual provider in the NPPES registry on June 24, 2010.

Where is Floyd Jackson located?

Floyd Jackson practices at 171 Carlos Dr, San Rafael, CA 94903. The listed phone number is (415) 755-2310.

What is Floyd 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 Floyd Jackson was last updated on June 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.