WANDA LAVINA JACKSON
NPI 1699483040
Counselor - Addiction (Substance Use Disorder) in Sacramento, CA
About Wanda Lavina Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WANDA LAVINA JACKSON (NPI 1699483040) is an individual addiction (substance use disorder) provider in Sacramento, California, licensed in California (B0000390819) and active in the NPI registry since November 2022.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SACRAMENTO, CA 95841
SACRAMENTO, CA 95841
SACRAMENTO, CA 95841
SACRAMENTO, CA 95841
SACRAMENTO, CA 95841
SACRAMENTO, CA 95841
SACRAMENTO, CA 95841
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 Wanda Jackson's NPI number?
The NPI number for Wanda Jackson is 1699483040. It was assigned to this individual provider in the NPPES registry on November 14, 2022.
Where is Wanda Jackson located?
Wanda Jackson practices at 4441 Auburn Blvd Ste E, Sacramento, CA 95841. The listed phone number is (916) 473-5764.
What is Wanda 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 Wanda Jackson was last updated on November 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Wanda Lavina Jackson · NPI 1699483040
Addiction (Substance Use Disorder) provider in Sacramento, California. Individual provider, active in the CMS NPPES registry since November 14, 2022.
## Identity
- **NPI:** 1699483040 (Entity type: Individual)
- **Enumerated:** November 14, 2022
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **State license:** B0000390819 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4441 AUBURN BLVD STE E, Sacramento, CA 95841-4139
- **Phone:** (916) 473-5764
## Record status
- **NPPES last updated:** November 14, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1699483040) · Data from the CMS NPPES public registry.