MR. FLOYD JACKSON NPI 1639480619

NPI Information

  • NPI: 1639480619
  • Provider Name: MR. FLOYD JACKSON
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 171 CARLOS DR
    SAN RAFAEL, CA
    ZIP 94903
  • Phone: (415) 755-2310

Map and Directions

Get Directions

NPI Details

MR. Floyd Jackson is an addiction (substance use disorder) counselor in San Rafael, CA. MR. Floyd Jackson NPI is 1639480619. 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:

171 CARLOS DR
SAN RAFAEL, CA
ZIP 94903-005
Phone: (415) 755-2310
Fax: (415) 755-2210

The enumeration date for this NPI number is 6/24/2010 and was last updated on 6/24/2010.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.