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

Crystal Amber Jackson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1821729880

Crystal Amber Jackson is an Addiction (Substance Use Disorder) Counselor in Santa Maria, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

412 E Tunnell St
Santa Maria, CA 93454-4146
Phone: (805) 925-0315
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 15788-RAC (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence R1452921221 (CA)

Record details

NPI number1821729880
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 21, 2022
Last updated in NPPESFebruary 7, 2023
Certification dateFebruary 7, 2023

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