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

Mr. Courtney Laresic Jackson

Individual provider Counselor · NPI 1417076241

Mr. Courtney Laresic Jackson is a Counselor in Sacramento, California. Registered with an NPI since 2007.

In the registry since
2007
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Practice location Address checks out

608 10th St
Sacramento, CA 95814-0712
Phone: (916) 441-2933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1417076241
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 29, 2007
Last updated in NPPESJuly 8, 2007

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