Porscha Jackson
Counselor, Addiction (Substance Use Disorder) in Sacramento, CA. Individual provider (NPI-1).
NPI number1174482715
StatusActive
Last updated in NPPESJan 20, 2026
Details
- NPI
- 1174482715
- Entity type
- Individual (NPI-1)
- Name
- Porscha Jackson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 20, 2026
- Certification date
- Jan 20, 2026
- Last updated
- Jan 20, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | CA | Yes |
Practice location
7240 E Southgate Dr Ste CSacramento, CA 95823-2627
Phone 916-330-3747
Mailing address
2807 Elvyra Way Apt 202Sacramento, CA 95821-5877
Phone 949-973-5784
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