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

Lexus Lauren Jackson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1164266169

Lexus Lauren Jackson is an Addiction (Substance Use Disorder) Counselor in Venice, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

503 Ocean Frnt Walk
Venice, CA 90291-2403
Phone: (310) 392-3070
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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 number1164266169
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 24, 2024
Last updated in NPPESJune 24, 2024
Certification dateJune 24, 2024
Mailing address503 Ocean Front Walk, Venice, CA 90291-2403

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