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

Governor Gilford Jackson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1124297692

Governor Gilford Jackson is an Addiction (Substance Use Disorder) Counselor in Modesto, California. Practices as a sole proprietor. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

1235 McHenry Ave Ste A&b
Modesto, CA 95350-5370
Phone: (209) 527-4597
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

Record details

NPI number1124297692
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 28, 2008
Last updated in NPPESJune 28, 2026
Certification dateSeptember 22, 2021

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