Individual
ANTHONY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1550 JULIESSE AVE, SACRAMENTO, CA 95815-1803
(916) 921-6598
Mailing address
1550 JULIESSE AVE, SACRAMENTO, CA 95815-1803
(916) 921-6598
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16268
CA
Other
Enumeration date
04/05/2021
Last updated
10/05/2025
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