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

Clifton Grant Jackson

Individual provider Counselor · NPI 1306102140

Clifton Grant Jackson is a Counselor in Chico, California. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

1360 E Lassen Ave
Chico, CA 95973-7823
Phone: (530) 267-1753
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence CG60195368 (WA)
Counselor Taxonomy 101Y00000X

Record details

NPI number1306102140
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 5, 2012
Last updated in NPPESJuly 18, 2023
Certification dateJune 14, 2023
Mailing address1360 E Lassen Ave, Chico, CA 95973-7823

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