CONSWAILA JACKSON CADCII NPI 1265563258

NPI Information

  • NPI: 1265563258
  • Provider Name: CONSWAILA JACKSON, CADCII
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 21730 S VERMONT AVE STE 210
    TORRANCE, CA
    ZIP 90502
  • Phone: (310) 781-3408

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NPI Details

Conswaila Jackson, CADCII is an addiction (substance use disorder) counselor in Torrance, CA. Conswaila Jackson, CADCII NPI is 1265563258. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

21730 S VERMONT AVE STE 210
TORRANCE, CA
ZIP 90502-196
Phone: (310) 781-3408

The enumeration date for this NPI number is 3/8/2007 and was last updated on 6/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225400000XRehabilitation PractitionerNo
2101YA0400XCounselorAddiction (Substance Use Disorder)A2008005CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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