Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alicia M. Jackson

Individual provider Marriage & Family Therapist · NPI 1912386525

Alicia M. Jackson is a Marriage and Family Therapist in Stockton, California. Qualified in 2016, 10 years ago. Practices with Sutter Valley Medical Foundation, a 2,464-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
10
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

6707 Embarcadero Dr
Stockton, CA 95219-3382
Phone: (209) 956-4240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1912386525
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 28, 2015
Last updated in NPPESAugust 1, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Sutter Valley Medical Foundation — 2464 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Stockton