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

Destanie Jackson

Individual provider Mental Health Counselor · NPI 1184320301

Destanie Jackson is a Mental Health Counselor in Long Beach, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
Specialties on file
2

Practice location Address checks out

3545 Long Beach Blvd
Long Beach, CA 90807-3941
Phone: (562) 490-7600
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 109019 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 109019 (CA)

Record details

NPI number1184320301
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 31, 2023
Last updated in NPPESJune 21, 2023
Certification dateJune 21, 2023

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