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

Mr. Floyd Jackson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1639480619

Mr. Floyd Jackson is an Addiction (Substance Use Disorder) Counselor in San Rafael, California. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

171 Carlos Dr
San Rafael, CA 94903-2005
Phone: (415) 755-2310
Fax: (415) 755-2210
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

Record details

NPI number1639480619
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 24, 2010
Last updated in NPPESJune 24, 2010

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