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

Lynette Jackson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1154288256

Lynette Jackson is an Addiction (Substance Use Disorder) Counselor in Modesto, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026
Specialties on file
11
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Practice location Address checks out

2200 Standiford Ave Apt 126
Modesto, CA 95350-6540
Phone: (209) 569-3351
Fax: (209) 290-3587
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 202030210947 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 202030210947 (CA)
Health & Wellness Coach Taxonomy 171400000X · Licence 202030210947 (CA)
Contractor Taxonomy 171W00000X · Licence 202030210947 (CA)
Case Manager/Care Coordinator Taxonomy 171M00000X · Licence 202030210947 (CA)
Health Educator Taxonomy 174H00000X · Licence 202030210947 (CA)
Home Health Agency Taxonomy 251E00000X · Licence 202030210947 (CA)
Homeopath Taxonomy 175L00000X · Licence 202030210947 (CA)
Local Education Agency (LEA) Taxonomy 251300000X · Licence 202030210947 (CA)
Intellectual and/or Developmental Disabilities Residential Treatment Facility Taxonomy 320600000X · Licence 202030210947 (CA)
Case Management Agency Taxonomy 251B00000X · Licence 202030210947 (CA)

Record details

NPI number1154288256
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 8, 2026
Last updated in NPPESFebruary 10, 2026
Certification dateFebruary 10, 2026

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