Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TRACEY L JACKSON
ActiveMR. TRACEY L JACKSON is a Counselor healthcare provider located in SACRAMENTO, California. NPI 1558486803 is currently active in the NPPES registry. Verify at CMS.
Counselor · SACRAMENTO, CA
Registration Details
- NPI Number
- 1558486803
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 19, 2007 (19.221544313095 yrs)
- Last Updated
- Jan 11, 2019
Practice Information
- Address
-
4612 ROOSEVELT AVESACRAMENTO, CA, 95820Browse CA providers · Browse ZIP 95820
- Phone
- 9164573129
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in SACRAMENTO, CA
| Name | Credential | NPI |
|---|---|---|
| LISA WARE | MA | 1306883012 |
| BERNARD FINLEY | MHRS | 1184652877 |
| MS. KIRA MICHELE OHM | M.A. | 1821010885 |
| MR. JOHN OLIVER THOMASSON JR. | MHRS, RAS, CCBT | 1659488906 |
| KRISTINA ELIZABETH SMOTHERMAN | — | 1508974072 |
| MS. LE THI FORREST | — | 1366551020 |
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.