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

Jackie R Koudelka

Individual provider Counselor · NPI 1962904821

Jackie R Koudelka is a Counselor in Stockton, California. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

6 S El Dorado St Ste 510
Stockton, CA 95202-2804
Phone: (209) 623-1411
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1962904821
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 6, 2018
Last updated in NPPESMarch 6, 2018

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