Governor Gilford Jackson is an addiction (substance use disorder) counselor in Modesto, CA. Governor Gilford Jackson NPI is 1124297692. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1235 MCHENRY AVE STE A&B
MODESTO, CA
ZIP 95350-370
Phone: (209) 527-4597
The enumeration date for this NPI number is 2/28/2008 and was last updated on 10/5/2021.