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SHAWANA JACKSON
NPI 1659730414
Counselor - Addiction (Substance Use Disorder) in Hawthorne, CA

Active since February 22, 2016
13715 CORDARY AVE APT 246, HAWTHORNE, CA 90250(310) 661-0441 Get Directions Write a Review

NPPES record last updated: February 22, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shawana Jackson NPPES

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

SHAWANA JACKSON (NPI 1659730414) is an individual addiction (substance use disorder) provider in Hawthorne, California, licensed in California (CAADE 5365-R) and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1659730414
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSHAWANA JACKSON
Location Address13715 CORDARY AVE APT 246Hawthorne, CA 90250-7419
Mailing Address13715 Cordary Ave Apt 246Hawthorne, CA 90250-7419 · (310) 661-0441
Phone(310) 661-0441
Sole ProprietorYes
Enumeration DateFebruary 22, 2016
✔ NPI 1659730414 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 CA · CAADE 5365-R
13715 CORDARY AVE APT 246, Hawthorne, CA 90250
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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 Shawana Jackson's NPI number?

The NPI number for Shawana Jackson is 1659730414. It was assigned to this individual provider in the NPPES registry on February 22, 2016.

Where is Shawana Jackson located?

Shawana Jackson practices at 13715 Cordary Ave Apt 246, Hawthorne, CA 90250. The listed phone number is (310) 661-0441.

What is Shawana 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 Shawana Jackson was last updated on February 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.