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

Miss. Selena Jackson, BREININGINSTITUTE

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1386810208

Miss. Selena Jackson, BREININGINSTITUTE is an Addiction (Substance Use Disorder) Counselor in Lakeport, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2008
Specialties on file
3

Practice location Address checks out

390 N Forbes St
Lakeport, CA 95453-4724
Phone: (707) 994-5486
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 RI-J0803091809 (CA)
Counselor Taxonomy 101Y00000X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1386810208
Entity typeIndividual (Type 1)
GenderFemale
Credentials BREININGINSTITUTE
Sole proprietorYes
NPI enumeratedApril 30, 2008
Last updated in NPPESMay 2, 2017

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