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

Candyce S Jackson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1528682390

Candyce S Jackson is an Addiction (Substance Use Disorder) Counselor in Santa Monica, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
Specialties on file
2

Practice location Address checks out

909 Pico Blvd
Santa Monica, CA 90405-1326
Phone: (310) 314-6200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence AII051011123 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1528682390
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 8, 2020
Last updated in NPPESFebruary 1, 2024
Certification dateFebruary 1, 2024

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