Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TY'SHUNNA JACKSON
Active Sole ProprietorTY'SHUNNA JACKSON is a Addiction (Substance Use Disorder) Counselor healthcare provider located in VENICE, California. NPI 1154518835 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · VENICE, CA
Registration Details
- NPI Number
- 1154518835
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 26, 2007 (18.857730180898 yrs)
- Last Updated
- Sep 26, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
717 LINCOLN BLVDVENICE, CA, 902912845Browse CA providers · Browse ZIP 90291
- Phone
- 3103999883
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in VENICE, CA
| Name | Credential | NPI |
|---|---|---|
| GERTRUDE BRIGGS | — | 1407043185 |
| BLANCA ROMERO | — | 1508053281 |
| VIVIAN BROWN | — | 1598953812 |
| RICKEY HAMMOND | — | 1205066347 |
| DENNIS SMITH | — | 1033556923 |
| MR. HENRY R. GRAY | — | 1033557111 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.