Individual
MS. SELENA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3840 ROSIN CT, SACRAMENTO, CA 95834-1639
(916) 388-6400
Mailing address
3840 ROSIN CT, SACRAMENTO, CA 95834-1639
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
12/04/2020
Last updated
04/21/2026
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