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TAYDAMA JACKSON RRW
NPI 1790173839
Counselor - Addiction (Substance Use Disorder) in Sacramento, CA

Active since December 23, 2014
4441 AUBURN BLVD, SUITE E, SACRAMENTO, CA 95841(916) 395-3552(916) 473-5766 Get Directions Write a Review

NPPES record last updated: January 2, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Taydama Jackson Rrw NPPES

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

TAYDAMA JACKSON RRW (NPI 1790173839) is an individual addiction (substance use disorder) provider in Sacramento, California and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1790173839
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTAYDAMA JACKSONCredential: RRW
Location Address4441 AUBURN BLVD, SUITE ESacramento, CA 95841-4139
Mailing Address4441 Auburn Blvd, Suite ESacramento, CA 95841-4139 · (916) 395-3552 · Fax (916) 473-5766
Phone(916) 395-3552
Fax(916) 473-5766
Sole ProprietorNo
Enumeration DateDecember 23, 2014
Last NPPES UpdateJanuary 2, 2015
✔ NPI 1790173839 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
4441 AUBURN BLVD, Sacramento, CA 95841
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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.

OATZI'NU SHE'E'LA'KE'E' IAMP- MEDICINE MAN
Counselor (Addiction (Substance Use Disorder))
4441 AUBURN BLVD
SACRAMENTO, CA 95841
Sacramento County (916) 473-5764
WELLSPACE HEALTH
Clinic/Center (Federally Qualified Health Center (FQHC))
4441 AUBURN BLVD, SUITE E
SACRAMENTO, CA 95841
Sacramento County (916) 473-5764
MS. MICHELLE LYNN CZINDER
Counselor (Addiction (Substance Use Disorder))
4441 AUBURN BLVD
SACRAMENTO, CA 95841
Sacramento County (916) 473-5764
MRS. TRAM-ANH NGUYEN
Counselor (Mental Health)
4441 AUBURN BLVD
SACRAMENTO, CA 95841
Sacramento County (916) 473-5764
ISAAC JEROME TAYLOR
Behavior Analyst
4441 AUBURN BLVD, SUITE E
SACRAMENTO, CA 95841
Sacramento County (916) 473-5764
RHONDA OKONKWO
Social Worker
4441 AUBURN BLVD, SUITE E
SACRAMENTO, CA 95841
Sacramento County (916) 395-3552
RODNEY ALLEN KIDWELL REGISTERED STUDENT
Counselor (Addiction (Substance Use Disorder))
4441 AUBURN BLVD, SUITE C
SACRAMENTO, CA 95841
Sacramento County (916) 473-5764
MR. HAROLD B ALLRED JR. RS
Counselor (Addiction (Substance Use Disorder))
4441 AUBURN BLVD
SACRAMENTO, CA 95841
Sacramento County (916) 473-5764

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 Taydama Jackson's NPI number?

The NPI number for Taydama Jackson is 1790173839. It was assigned to this individual provider in the NPPES registry on December 23, 2014.

Where is Taydama Jackson located?

Taydama Jackson practices at 4441 Auburn Blvd Suite E, Sacramento, CA 95841. The listed phone number is (916) 395-3552.

What is Taydama 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 Taydama Jackson was last updated on January 2, 2015. 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.