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

Lara Elizabeth Jackson

Individual provider Counselor · NPI 1467884015

Lara Elizabeth Jackson is a Counselor in Sacramento, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
Specialties on file
3
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Practice location Address checks out

6833 Stockton Blvd
Sacramento, CA 95823-2372
Phone: (916) 539-0622
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 136096 (CA)
Counselor Taxonomy 101Y00000X
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1467884015
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 6, 2013
Last updated in NPPESMay 11, 2023
Certification dateMay 11, 2023

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