Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SCOTT A JACKSON, CADC II
Active Sole ProprietorMR. SCOTT A JACKSON, CADC II is a Addiction (Substance Use Disorder) Counselor healthcare provider located in SAN DIEGO, California. NPI 1902278690 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · SAN DIEGO, CA
Registration Details
- NPI Number
- 1902278690
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 21, 2015 (10.819016347109 yrs)
- Last Updated
- Apr 17, 2025
- Licenses
-
CI4400615 (CA)A040000816 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3148 MIDWAY DR # 113SAN DIEGO, CA, 921104539Browse CA providers · Browse ZIP 92110
- Phone
- 6196193630
- Fax
- 6193629905
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Addiction (Substance Use Disorder) Counselor Providers in SAN DIEGO, CA
| Name | Credential | NPI |
|---|---|---|
| MS. DEBRA P, DEANE | M.A | 1487745204 |
| ALYCIA L CARDONA | — | 1003999269 |
| MS. LORI BETH SECORD | — | 1497816227 |
| MS. KATE ANN PHILLIPS | CADC1 | 1093852261 |
| MS. LINDA FAYE COCHRAN-JOHNSON | — | 1235272436 |
| MR. JOHN K KUA III | CAARR | 1437288446 |
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.