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RUDY JACKSON JR.
NPI 1881144152
Counselor - Mental Health in Fresno, CA

Active since October 10, 2016
5738 W FREMONT AVE, FRESNO, CA 93722(559) 375-3040 Get Directions Write a Review

NPPES record last updated: October 10, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rudy Jackson Jr. NPPES

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

RUDY JACKSON JR. (NPI 1881144152) is an individual mental health provider in Fresno, California and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1881144152
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameRUDY JACKSON JR.
Location Address5738 W FREMONT AVEFresno, CA 93722-3044
Mailing Address5738 W Fremont AveFresno, CA 93722-3044 · (559) 375-3040
Phone(559) 375-3040
Sole ProprietorYes
Enumeration DateOctober 10, 2016
✔ NPI 1881144152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
5738 W FREMONT AVE, Fresno, CA 93722
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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 Rudy Jackson's NPI number?

The NPI number for Rudy Jackson is 1881144152. It was assigned to this individual provider in the NPPES registry on October 10, 2016.

Where is Rudy Jackson located?

Rudy Jackson practices at 5738 W Fremont Ave, Fresno, CA 93722. The listed phone number is (559) 375-3040.

What is Rudy Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Rudy Jackson was last updated on October 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.