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

Michael Jackson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1760850192

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

Licensed in
CA
In the registry since
2015

Practice location Address checks out

815 Buena Vista Ave W
San Francisco, CA 94117-4108
Phone: (415) 554-1450
Fax: (415) 558-4235
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 · Licence 154980I (CA)

Record details

NPI number1760850192
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 2, 2015
Last updated in NPPESSeptember 2, 2015

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